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Vermont 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
$283.04 / $283.04 / $283.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $6.49 / $70.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.41 / $84.17 / $162.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.59 / $50.59 / $162.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.59 / $56.88 / $162.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $84.59 / $235.53