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Ohio rates for RC 0204

Intensive Care - Psychiatric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,778.28 / $2,089.30
Molina
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $8,912.51 / $14,454.40
Optum
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,621.81 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,621.81 / $2,630.27