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Louisiana 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
$26.68 / $26.68 / $26.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $26.68 / $29.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $23.00 / $23.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $20.00 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $6.30 / $23.82