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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 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
$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