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Maryland 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
$316.23 / $316.23 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $97.72 / $363.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $91.20 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $100.00 / $177.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $87.10 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $102.33 / $165.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $97.72 / $123.03