| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $52,499.48 | $52,499.48 | $52,499.48 | |
Medical Mutual of Ohio
| Professional | $112.79 | $119.50 | $119.50 | |
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 |
|---|---|---|---|---|---|
CareSource
| Facility | $52,499.48 | $52,499.48 | $52,499.48 | |
Medical Mutual of Ohio
| Professional | $112.79 | $119.50 | $119.50 | |
United
| Professional | $85.00 | $85.00 | $85.00 |