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Minnesota 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
$5.04 / $57.70 / $307.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $6.16 / $63.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $9.34 / $794.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $49.69 / $195.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.16 / $207.83 / $499.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $50.59 / $81.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.87 / $183.24 / $393.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $7.65 / $64.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.03 / $86.06 / $351.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $101.35 / $212.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.63 / $115.48 / $211.99