| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.62 | $30.16 | $69.75 | |
BCBS
| Professional | $43.00 | $53.00 | $55.00 | |
Cigna
| Professional | $30.55 | $49.96 | $69.19 | |
United
| Professional | $37.29 | $58.21 | $95.93 |
Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (List separately in addition to the code of the outpatient Evaluation and Management service)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.62 | $30.16 | $69.75 | |
BCBS
| Professional | $43.00 | $53.00 | $55.00 | |
Cigna
| Professional | $30.55 | $49.96 | $69.19 | |
United
| Professional | $37.29 | $58.21 | $95.93 |