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Rhode Island 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
$115.68 / $115.68 / $115.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.69 / $115.68 / $187.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.45 / $176.36 / $225.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.55 / $73.36 / $128.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.54 / $102.81 / $198.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.72 / $107.19 / $148.05