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Indiana 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
$77.31 / $77.31 / $77.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $82.75 / $108.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.72 / $89.72 / $173.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.72 / $89.72 / $120.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.19 / $97.75 / $105.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.19 / $89.23 / $112.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.46 / $95.46 / $95.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.93 / $106.78 / $157.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.30 / $95.28 / $152.22