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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)

Facilitymedian $288 · 10th–90th $10–$5010%10%10th90th$288Professionalmedian $36 · 10th–90th $4–$1260%5%10%10th90th$36$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$57.54 / $295.12 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $32.36 / $125.89
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $53.70 / $81.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $43.65 / $125.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $91.20 / $363.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.30 / $89.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $74.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $70.79 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $52.48 / $123.03
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.23 / $102.33