| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $257.04 | $630.96 | |
BCBS
| Facility | $190.55 | $288.40 | $512.86 | |
Cigna
| Facility | $186.21 | $263.03 | $426.58 | |
United
| Facility | $165.96 | $239.88 | $416.87 |
Behavioral Health Treatments/Services (also see 091X, an extension of 090X)-Intensive Outpatient Services-Chemical Dependency
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $257.04 | $630.96 | |
BCBS
| Facility | $190.55 | $288.40 | $512.86 | |
Cigna
| Facility | $186.21 | $263.03 | $426.58 | |
United
| Facility | $165.96 | $239.88 | $416.87 |
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