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Missouri 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
$81.73 / $85.96 / $101.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.73 / $100.70 / $361.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.16 / $79.70 / $147.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.97 / $111.69 / $191.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.73 / $111.97 / $201.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $115.12 / $509.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $109.76 / $187.07