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Maryland 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
$145.00 / $250.00 / $424.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $225.00 / $452.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.00 / $557.00 / $557.00