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Ohio 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
$57.52 / $191.96 / $760.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.46 / $61.90 / $308.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.96 / $50.69 / $92.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.04 / $57.70 / $109.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.95 / $62.68 / $81.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.31 / $61.54 / $112.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.95 / $67.95 / $67.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.36 / $69.23 / $118.20
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.69 / $217.95 / $263.38
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.23 / $70.31 / $119.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.24 / $40.43 / $53.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.96 / $73.01 / $129.94