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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.

Facilitymedian $36 · 10th–90th $29–$520%50%10th90th$36Professionalmedian $16 · 10th–90th $5–$360%10%10th90th$16$5.0$10.0$20.0$50.0$100.0$200.0

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
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $25.70 / $36.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $23.99 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $50.12 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $45.71 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $42.66
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $25.70 / $60.26
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $8.13 / $14.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $23.99 / $125.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $14.79 / $29.51