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Tennessee 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
$221.00 / $358.00 / $754.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.00 / $242.91 / $325.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.41 / $371.29 / $1,619.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.00 / $292.00 / $422.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
Optum
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $295.64 / $474.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.00 / $472.00 / $472.00