| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,228.00 | $40,000.00 | $47,500.00 | |
Providence
| Facility | $8,278.73 | $8,278.73 | $8,278.73 |
Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,228.00 | $40,000.00 | $47,500.00 | |
Providence
| Facility | $8,278.73 | $8,278.73 | $8,278.73 |