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Nebraska 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 $52 · 10th–90th $5–$2880%10%10th90th$52Professionalmedian $10 · 10th–90th $4–$830%10%20%10th90th$10$5.0$20.0$100.0$500.0$2.0K

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
$5.13 / $288.40 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $9.55 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $57.54 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.90 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $53.70 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $37.15 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $102.33 / $363.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $69.18 / $131.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $69.18 / $125.89
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $3,890.45
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $57.54 / $123.03