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 | $138.04 | $177.83 | $331.13 | |
Aetna
| Facility | 25 | $630.96 | $724.44 | $912.01 |
CareSource
| Facility | $194.98 | $251.19 | $331.13 | |
Cigna
| Facility | $316.23 | $316.23 | $316.23 | |
Medical Mutual of Ohio
| Facility | $47.86 | $275.42 | $3,019.95 |