| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.00 | $237.00 | $241.00 | |
BCBS
| Facility | $160.00 | $220.00 | $315.00 | |
Cigna
| Facility | $198.00 | $198.00 | $295.00 | |
Providence
| Facility | $198.00 | $234.00 | $295.00 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $210.00 | $237.00 | $241.00 | |
BCBS
| Facility | $160.00 | $220.00 | $315.00 | |
Cigna
| Facility | $198.00 | $198.00 | $295.00 | |
Providence
| Facility | $198.00 | $234.00 | $295.00 |