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Pennsylvania rates for RC 0204

Intensive Care - Psychiatric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.00 / $1,739.00 / $3,205.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $1,000.00 / $1,322.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,575.00 / $1,575.00 / $1,575.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $1,539.00 / $2,842.00
Optum
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.00 / $1,414.00 / $1,750.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.00 / $1,414.00 / $1,750.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $1,000.00 / $1,322.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.48 / $1,953.48 / $2,702.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.00 / $1,096.00 / $9,780.00