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Massachusetts 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 Oobserver To Assist In The Monitoring Of The Patients Level Of Consciousness And Physiologicalstatus; 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
$5.13 / $51.60 / $220.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $11.95 / $73.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.15 / $18.25 / $31.24
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $90.67 / $247.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.98 / $14.14 / $19.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.59 / $78.88 / $142.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.59 / $50.59 / $69.69
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.48 / $87.05 / $138.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $23.11 / $154.22
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $12.83 / $12.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.24 / $31.24 / $31.24
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.98 / $115.70 / $360.95
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $8.21 / $11.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.05 / $90.67 / $176.07