| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $206.26 | $206.26 | $206.26 | |
Medica
| Professional | $135.34 | $459.01 | $459.01 | |
United
| Professional | $85.00 | $85.00 | $85.00 |
Prolonged service in the inpatient or observation setting, requiring unit/floor time beyond 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 |
|---|---|---|---|---|---|
Medica
| Facility | $206.26 | $206.26 | $206.26 | |
Medica
| Professional | $135.34 | $459.01 | $459.01 | |
United
| Professional | $85.00 | $85.00 | $85.00 |