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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
$314.18 / $314.18 / $330.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.11 / $87.03 / $282.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.43 / $103.43 / $103.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.20 / $101.85 / $180.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $93.30 / $132.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.84 / $101.54 / $196.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.98 / $86.39 / $120.47