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Michigan 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
$98.61 / $98.61 / $333.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $98.61 / $249.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.73 / $79.73 / $79.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.24 / $62.31 / $134.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.95 / $134.57 / $181.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.04 / $101.36 / $315.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.58 / $91.58 / $333.35
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $98.61 / $277.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.15 / $68.38 / $97.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.66 / $102.20 / $152.94