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Montana 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 $48 · 10th–90th $7–$1170%10%20%10th90th$48Professionalmedian $10 · 10th–90th $4–$930%10%20%10th90th$10$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$8.91 / $8.91 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $9.12 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $77,624.71 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $81.28 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $53.70 / $91.20
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $11.48 / $102.33
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $11.48 / $102.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $35.48 / $102.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $60.26 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $14.79 / $104.71