| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $26,249.74 | $38,499.62 | $47,999.52 | |
CareSource
| Professional | $47,249.53 | $48,999.51 | $50,749.49 | |
Molina
| Professional | $53.44 | $64.12 | $72.14 |
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 |
|---|---|---|---|---|---|
CareSource
| Facility | $26,249.74 | $38,499.62 | $47,999.52 | |
CareSource
| Professional | $47,249.53 | $48,999.51 | $50,749.49 | |
Molina
| Professional | $53.44 | $64.12 | $72.14 |