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Texas 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 Oobserver To Assist In The Monitoring Of The Patients Level Of Consciousness And Physiologicalstatus; 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
$3.22 / $156.80 / $362.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $7.39 / $60.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.36 / $6.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $15.69 / $29.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $40.88 / $48.10
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.23 / $5.23 / $605.16
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $8.67 / $72.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $63.84
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.24 / $31.24 / $92.67
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.83 / $360.95 / $482.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $29.75 / $80.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $60.49 / $98.98
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.36 / $1,291.00 / $3,419.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $52.13 / $101.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $29.75 / $84.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.32 / $50.59 / $130.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.19 / $62.03 / $98.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.93 / $54.83 / $74.59