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Massachusetts 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
$87.10 / $112.20 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $102.33 / $457.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $194.98 / $512.86
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $128.82 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $234.42 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $154.88 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $112.20 / $234.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $131.83 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $87.10 / $162.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $125.89 / $213.80
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $269.15 / $1,202.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $194.98 / $512.86
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $128.82 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $123.03 / $229.09