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Massachusetts 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
$36.19 / $36.19 / $36.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $27.81 / $36.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $85.00 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $23.82 / $125.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.40 / $48.27 / $48.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.40 / $48.92 / $98.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $25.75 / $42.93
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $25.50 / $25.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $11.67 / $17.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $85.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.79 / $23.82 / $125.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.09 / $40.09 / $40.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $21.97 / $30.03