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Arkansas rates for HCPCS G0500

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)

Facilitymedian $52 · 10th–90th $5–$1860%10%20%10th90th$52Professionalmedian $10 · 10th–90th $4–$710%10%20%10th90th$10$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $52.48 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $8.13 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $72.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.08 / $10.00
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $67.61 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $53.70 / $53.70
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.51 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $46.77 / $81.28