| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $162.18 | $213.80 | $416.87 | |
Horizon BCBS
| Professional | $85.11 | $131.83 | $181.97 | |
United
| Professional | $74.13 | $93.33 | $125.89 |
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 |
|---|---|---|---|---|---|
Cigna
| Professional | $162.18 | $213.80 | $416.87 | |
Horizon BCBS
| Professional | $85.11 | $131.83 | $181.97 | |
United
| Professional | $74.13 | $93.33 | $125.89 |