| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $125.89 | $158.49 | $173.78 | |
United
| Professional | $75.86 | $75.86 | $75.86 |
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 |
|---|---|---|---|---|---|
Pacific Source
| Facility | $125.89 | $158.49 | $173.78 | |
United
| Professional | $75.86 | $75.86 | $75.86 |