| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Professional | $302.00 | $302.00 | $302.00 | |
Horizon BCBS
| Professional | $79.43 | $125.89 | $177.83 | |
United
| Professional | $75.86 | $75.86 | $158.49 |
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 |
|---|---|---|---|---|---|
AmeriHealth
| Professional | $302.00 | $302.00 | $302.00 | |
Horizon BCBS
| Professional | $79.43 | $125.89 | $177.83 | |
United
| Professional | $75.86 | $75.86 | $158.49 |