| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $87.87 | $87.87 | $118.18 | |
Well Sense
| Professional | $70.23 | $87.90 | $121.78 |
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 |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $87.87 | $87.87 | $118.18 | |
Well Sense
| Professional | $70.23 | $87.90 | $121.78 |