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Ohio 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
$79.43 / $123.03 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $117.49 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $79.43 / $154.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $81.28 / $114.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $77.62 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $91.20 / $147.91
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $316.23 / $794.33
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $95.50 / $151.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $51.29
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $85.11 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $83.18 / $151.36