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Wisconsin 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
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,288.25 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,148.15 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $831.76 / $1,318.26