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Indiana 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
$4.94 / $4.94 / $4.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $6.35 / $29.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $36.11 / $85.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $20.21 / $72.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.71 / $20.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $25.00 / $154.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $5.94 / $26.32