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Arizona 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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $25.70 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $97.72 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $81.28 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.12 / $40.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $7.59 / $34.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $10.00 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $7.94 / $10.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.76 / $26.30