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Kentucky 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 / $22.91 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $79.43 / $104.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $20.42 / $45,708.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $20.42 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $28.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.76 / $23.99