| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $26,249.74 | $40,424.60 | $55,999.44 | |
CareSource
| Professional | $47,249.53 | $48,999.51 | $50,749.49 | |
Molina
| Professional | $67.00 | $80.40 | $90.45 |
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 |
|---|---|---|---|---|---|
CareSource
| Facility | $26,249.74 | $40,424.60 | $55,999.44 | |
CareSource
| Professional | $47,249.53 | $48,999.51 | $50,749.49 | |
Molina
| Professional | $67.00 | $80.40 | $90.45 |