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Michigan 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)

Facilitymedian $68 · 10th–90th $7–$2750%10%10th90th$68Professionalmedian $10 · 10th–90th $4–$780%10%10th90th$10$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $67.61 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $9.55 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.37 / $10.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $275.42 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.00 / $100.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $6.92 / $10.23
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $67.61 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $53.70 / $67.61
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $67.61 / $162.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $46.77 / $83.18
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $45.71 / $81.28