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Idaho 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
$23.14 / $23.14 / $23.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $23.95 / $29.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $21.00 / $51.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.12 / $23.14 / $28.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $22.50 / $23.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $3,900.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.50 / $28.50 / $28.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $8.97 / $23.82