| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $204.17 | $346.74 | $346.74 | |
Medica
| Professional | $107.15 | $457.09 | $457.09 | |
United
| Professional | $74.13 | $93.33 | $117.49 |
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 |
|---|---|---|---|---|---|
Medica
| Facility | $204.17 | $346.74 | $346.74 | |
Medica
| Professional | $107.15 | $457.09 | $457.09 | |
United
| Professional | $74.13 | $93.33 | $117.49 |