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Massachusetts rates for HCPCS 99157

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; each additional 15 minutes intraservice time (List separately in addition to code for primary service)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.58 / $54.58 / $808.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.58 / $66.18 / $830.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.20 / $143.16 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.99 / $95.01 / $384.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.63 / $168.23 / $214.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.98 / $110.30 / $290.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.95 / $67.95 / $67.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $78.69 / $172.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.91 / $88.15 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $61.25 / $103.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.04 / $131.32 / $174.44
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.97 / $174.34 / $1,208.68
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.22 / $189.64 / $442.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.68 / $133.68 / $274.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.31 / $98.28 / $384.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.99 / $84.31 / $162.68