go back

Louisiana 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
$169.00 / $235.00 / $290.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $225.00 / $225.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $255.23 / $289.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.00 / $40.00 / $275.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $212.00 / $252.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.00 / $472.00 / $472.00