| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $478.63 | $954.99 | |
BCBS
| Facility | $89.13 | $2,137.96 | $3,890.45 | |
United
| Facility | $109.65 | $251.19 | $478.63 |
Other Therapeutic Services (see also 095X, an extension of 094X)-Drug Rehabilitation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $478.63 | $954.99 | |
BCBS
| Facility | $89.13 | $2,137.96 | $3,890.45 | |
United
| Facility | $109.65 | $251.19 | $478.63 |
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