go back

Wisconsin 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
$251.19 / $251.19 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $309.03 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $295.12 / $389.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $295.12 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $288.40 / $467.74