| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $172.21 | $172.21 | $172.21 | |
Pacific Source
| Facility | $125.93 | $157.80 | $174.20 |
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 |
|---|---|---|---|---|---|
Moda Health
| Professional | $172.21 | $172.21 | $172.21 | |
Pacific Source
| Facility | $125.93 | $157.80 | $174.20 |