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Arizona rates for HCPCS 99155

Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.29 / $80.29 / $97.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.17 / $88.23 / $361.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.45 / $359.19 / $591.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.11 / $77.48 / $116.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.48 / $99.22 / $166.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.20 / $83.36 / $160.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.19 / $121.50 / $509.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.90 / $110.46 / $189.37