| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,474.43 | $1,474.43 | $1,474.43 | |
Medica
| Facility | $475.00 | $945.00 | $1,050.00 |
Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Intensive Outpatient Services-Psychiatric
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,474.43 | $1,474.43 | $1,474.43 | |
Medica
| Facility | $475.00 | $945.00 | $1,050.00 |