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South 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
$85.57 / $120.40 / $120.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.98 / $104.54 / $372.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $77.34 / $106.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.46 / $95.46 / $95.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.39 / $113.54 / $188.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.57 / $108.47 / $176.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.69 / $81.10 / $127.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.38 / $100.86 / $158.58