go back

Montana rates for HCPCS 99156

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 age 5 years or older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.85 / $357.85 / $357.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.65 / $79.79 / $299.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.05 / $116.73 / $116.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.73 / $116.73 / $138.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.53 / $113.43 / $160.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.29 / $78.16 / $116.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.16 / $140.85 / $187.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.95 / $130.97 / $167.09