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New York 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
$4.24 / $44.17 / $5,660.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $8.36 / $66.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $5.58 / $58.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.84 / $70.40 / $119.13
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.66 / $7.66 / $7.66
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $7.66 / $80.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.59 / $50.59 / $50.59
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.72 / $15.41 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.61 / $79.01 / $114.60
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.14 / $52.14 / $52.14
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.14 / $69.87 / $113.89
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.46 / $18.46 / $23.07
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.58 / $200.00 / $225.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.57 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.59 / $57.69 / $125.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.33 / $66.23 / $150.60
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.97 / $6.07 / $6.07
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.15 / $69.87 / $113.89