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 | $257.04 | $436.52 | $575.44 | |
Medcost
| Professional | $97.72 | $120.23 | $162.18 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $87.10 | $120.23 | $181.97 |