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South Dakota 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
$5.04 / $147.06 / $463.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $54.82 / $126.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $50.59 / $80.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.88 / $43.51 / $117.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.08 / $102.26 / $360.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.53 / $75.25 / $129.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.25 / $69.51 / $95.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $67.58 / $105.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.78 / $99.93 / $123.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $10.30 / $103.20