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Arizona 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 $26 · 10th–90th $5–$760%5%10%10th90th$26Professionalmedian $10 · 10th–90th $4–$830%10%10th90th$10$1.0$5.0$20.0$100.0$500.0

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
$75.86 / $75.86 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.76 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.37 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $22.91 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $38.02 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $30.90 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $72.44 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $45.71 / $85.11