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Idaho 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
$393.60 / $393.60 / $393.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.57 / $102.61 / $123.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.84 / $110.79 / $159.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.61 / $116.48 / $162.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.29 / $139.25 / $159.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $146.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.61 / $121.89 / $147.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.34 / $131.51 / $175.36