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New Hampshire 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.44 / $6.60 / $58.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $36.81 / $60.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $50.50 / $74.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.59 / $50.59 / $50.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $22.41 / $169.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.66 / $94.97 / $196.49
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $46.77 / $65.48