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North Carolina 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
$26.92 / $125.89 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $93.33 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $169.82 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $218.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $93.33 / $173.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $117.49 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $109.65 / $177.83
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $676.08