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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.

Facilitymedian $20 · 10th–90th $4–$3020%10%20%10th90th$20Professionalmedian $26 · 10th–90th $4–$850%10%20%10th90th$26$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $22.91 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $75.86 / $104.71
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $20.42 / $45,708.82
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $20.42 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.12 / $28.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $8.13 / $26.30