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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
$79.43 / $79.43 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $97.72 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $288.40 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $97.72 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $100.00 / $165.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $87.10 / $165.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $125.89 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $104.71 / $186.21