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Nationwide rates for HCPCS 0373T

Adaptive behavior treatment with protocol modification, each 15 minutes of technicians' time face-to-face with a patient, requiring the following components: administration by the physician or other qualified health care professional who is on site; with the assistance of two or more technicians; for a patient who exhibits destructive behavior; completion in an environment that is customized to the patient's behavior.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.50 / $23.32 / $24.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $26.54 / $36.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.37 / $159.16 / $159.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.81 / $34.31 / $72.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.97 / $5.97 / $5.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $25.00 / $40.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.56 / $75.67 / $82.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $9.19 / $26.32