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Illinois 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.68 / $222.77 / $977.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $7.97 / $73.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $52.19 / $52.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.97 / $50.08 / $100.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $22.01 / $71.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.59 / $50.59 / $50.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $75.39 / $297.25
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $7.48 / $74.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $84.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $74.09 / $118.54