| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $205.62 | $346.11 | $346.11 | |
Medica
| Professional | $103.49 | $683.00 | $683.00 |
Prolonged service in the inpatient or observation setting, requiring unit/floor time beyond the usual service; first hour (List separately in addition to code for inpatient or observation Evaluation and Management service)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $205.62 | $346.11 | $346.11 | |
Medica
| Professional | $103.49 | $683.00 | $683.00 |