| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $234.42 | $251.19 | |
Aetna
| Facility | 25 | $288.40 | $288.40 | $436.52 |
CareSource
| Facility | $245.47 | $251.19 | $269.15 |
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 high level of medical decision making. When using total time on the date of the encounter for code selection, 85 minutes must be met or exceeded.
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $234.42 | $251.19 | |
Aetna
| Facility | 25 | $288.40 | $288.40 | $436.52 |
CareSource
| Facility | $245.47 | $251.19 | $269.15 |