go back

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 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
$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