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Oklahoma 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
$77.94 / $77.94 / $818.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.94 / $79.56 / $121.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.25 / $102.86 / $112.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.99 / $114.61 / $141.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $81.84 / $134.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.30 / $105.55 / $509.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.55 / $104.63 / $157.22