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New Hampshire 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
Professional
Modifier
Low / Median / High Price
$81.98 / $96.15 / $103.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.56 / $85.98 / $121.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.57 / $131.43 / $219.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.09 / $151.66 / $281.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.44 / $129.65 / $223.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $77.78 / $118.38