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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 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
$9.00 / $9.00 / $9.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.94 / $60.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $8.94 / $90.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $8.94 / $90.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $50.59 / $90.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $8.94 / $69.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.58 / $56.20 / $144.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.15 / $94.39 / $111.99