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Virginia 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
$6.25 / $106.51 / $290.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $12.84 / $64.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $9.80 / $80.00
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.95 / $65.09 / $81.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $46.34 / $89.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $77.20 / $101.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $6.70 / $11.98
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $68.33 / $120.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.19 / $73.29 / $112.18