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Minnesota 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
$86.17 / $86.17 / $86.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.23 / $95.48 / $230.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $142.37 / $794.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.44 / $183.95 / $273.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.56 / $278.14 / $663.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.24 / $238.66 / $333.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.16 / $252.25 / $522.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.80 / $206.71 / $301.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.79 / $135.18 / $206.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.47 / $172.31 / $330.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.47 / $167.78 / $303.63