| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $222.94 | $296.62 | $381.98 | |
BCBS
| Professional | $87.87 | $87.87 | $109.09 | |
Cigna
| Facility | $218.30 | $281.42 | $497.51 | |
Cigna
| Professional | $202.40 | $344.39 | $427.30 |
Prolonged service(s) in the outpatient setting requiring direct patient contact beyond the time of the usual service; each additional 30 minutes (List separately in addition to code for prolonged service)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $222.94 | $296.62 | $381.98 | |
BCBS
| Professional | $87.87 | $87.87 | $109.09 | |
Cigna
| Facility | $218.30 | $281.42 | $497.51 | |
Cigna
| Professional | $202.40 | $344.39 | $427.30 |
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