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Pennsylvania 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
$62.19 / $129.93 / $283.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.29 / $79.55 / $201.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.04 / $76.83 / $138.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.12 / $86.12 / $86.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.33 / $88.07 / $148.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.99 / $105.37 / $158.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.92 / $100.94 / $486.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.03 / $129.93 / $283.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $94.33 / $237.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.40 / $103.38 / $185.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.12 / $86.12 / $86.12
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.33 / $88.59 / $151.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.40 / $74.40 / $84.01
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.87 / $75.06 / $77.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.48 / $84.19 / $145.31