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Pennsylvania 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
$49.54 / $168.93 / $192.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $6.79 / $64.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $4.61 / $5.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.28 / $76.63 / $101.65
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
$12.71 / $12.71 / $12.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.48 / $83.79 / $113.14
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $144.63 / $315.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.10 / $125.77 / $310.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $7.97 / $70.76
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.92 / $2,813.92 / $2,813.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $75.79 / $154.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.59 / $50.59 / $50.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.27 / $53.01 / $61.09
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $52.01 / $58.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.37 / $62.25 / $108.12