| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $368.89 | $368.89 | $441.97 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
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 |
|---|---|---|---|---|---|
Cigna
| Professional | $368.89 | $368.89 | $441.97 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $85.00 | $85.00 | $85.00 |