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 | $144.54 | $162.18 | $190.55 | |
Medica
| Facility | $204.17 | $263.03 | $416.87 | |
Midlands
| Professional | $302.00 | $416.87 | $416.87 | |
Sanford Health Plan
| Professional | $257.04 | $354.81 | $416.87 |