| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Optum
| Facility | $467.74 | $467.74 | $467.74 | |
United
| Facility | $467.74 | $467.74 | $467.74 |
Other Therapeutic Services (see also 095X, an extension of 094X)-Alcohol Rehabilitation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Optum
| Facility | $467.74 | $467.74 | $467.74 | |
United
| Facility | $467.74 | $467.74 | $467.74 |