| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $103.50 | $134.78 | $282.94 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $87.54 | $87.54 | $87.54 |
Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital "observation status" if the discharge is on other than the initial date of "observation status." To report services to a patient designated as "observation status" or "inpatient status" and discharged on the same date, use the codes for Observation or Inpatient Care Services [including Admission and Discharge Services, 99234-99236 as appropriate.])
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $103.50 | $134.78 | $282.94 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $87.54 | $87.54 | $87.54 |