| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.00 | $221.40 | $254.61 | |
Oscar Health
| Facility | $165.00 | $617.97 | $617.97 |
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 | $206.00 | $221.40 | $254.61 | |
Oscar Health
| Facility | $165.00 | $617.97 | $617.97 |