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New Hampshire 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
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $275.42 / $467.74
Optum
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $316.23 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $316.23 / $549.54