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 | $162.18 | $213.80 | $213.80 | |
BCBS
| Facility | $309.03 | $354.81 | $354.81 | |
CareSource
| Facility | $194.98 | $251.19 | $354.81 | |
Health Alliance Plan
| Facility | $181.97 | $213.80 | $616.60 |