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Indiana rates for RC 0905

Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Intensive Outpatient Services-Psychiatric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $181.00 / $235.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.05 / $153.05 / $185.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.03 / $290.00 / $1,182.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $200.00 / $274.00