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Pennsylvania 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
$185.00 / $238.43 / $381.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.80 / $246.95 / $264.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.00 / $249.00 / $300.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.00 / $242.05 / $381.13
Optum
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $202.00 / $483.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $202.00 / $483.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.00 / $249.00 / $300.00