Prolonged service(s) in the outpatient setting requiring direct patient contact beyond the time of the usual service; first hour (List separately in addition to code for outpatient Evaluation and Management or psychotherapy service, except with office or other outpatient services [99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215])
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $458.74 | $521.63 | $624.97 | |
HMSA
| Professional | $30.00 | $30.00 | $30.00 | |
Kaiser Permanente
| Professional | $261.89 | $261.89 | $670.00 | |
University Health Alliance
| Professional | $93.29 | $114.21 | $154.59 |