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 | $165.96 | $190.55 | $275.42 | |
CareSource
| Facility | $239.88 | $281.84 | $407.38 | |
Kaiser Permanente
| Professional | $194.98 | $269.15 | $501.19 | |
Oscar Health
| Facility | $3,388.44 | $3,630.78 | $6,165.95 |