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California rates for RC 0901

Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Electroshock Treatment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $1,669.00 / $3,409.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.00 / $1,823.00 / $1,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,658.00 / $3,514.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.00 / $773.00 / $1,773.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.00 / $1,495.00 / $2,688.00
HealthNet
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,070.59 / $4,448.20 / $6,759.99
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $250.00 / $1,532.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $1,000.00 / $1,500.00
Optum
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.00 / $1,272.00 / $2,515.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.00 / $1,264.00 / $2,564.00
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.00 / $1,272.00 / $2,515.00