| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.88 | $109.68 | $140.65 | |
Aetna
| Facility | 25 | $1,528.00 | $1,528.00 | $1,528.00 |
Cigna
| Facility | $111.66 | $111.66 | $111.66 |
Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.88 | $109.68 | $140.65 | |
Aetna
| Facility | 25 | $1,528.00 | $1,528.00 | $1,528.00 |
Cigna
| Facility | $111.66 | $111.66 | $111.66 |