go back

Maine 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
$77.84 / $81.31 / $91.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $12.52 / $74.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $52.96 / $86.36
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $23.87 / $121.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.84 / $81.31 / $91.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $12.52 / $87.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.33 / $78.78 / $117.40