| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $208.46 | $38,499.62 | $52,499.48 | |
Medical Mutual of Ohio
| Facility | $558.09 | $558.09 | $1,719.14 | |
Medical Mutual of Ohio
| Professional | $67.58 | $101.66 | $233.10 |
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 | $208.46 | $38,499.62 | $52,499.48 | |
Medical Mutual of Ohio
| Facility | $558.09 | $558.09 | $1,719.14 | |
Medical Mutual of Ohio
| Professional | $67.58 | $101.66 | $233.10 |