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Vermont 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
$103.47 / $103.47 / $103.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.87 / $98.09 / $361.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.87 / $110.87 / $291.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.56 / $106.91 / $225.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.56 / $110.36 / $188.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.32 / $134.19 / $344.39