| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $933.25 | $933.25 | |
BCBS
| Facility | $77.62 | $2,137.96 | $3,890.45 |
Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Activity Therapy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $933.25 | $933.25 | |
BCBS
| Facility | $77.62 | $2,137.96 | $3,890.45 |
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