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Maryland 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 $6 · 10th–90th $5–$110%20%10th90th$6Professionalmedian $26 · 10th–90th $5–$360%10%10th90th$26$5.0$10.0$20.0$50.0$100.0

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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $25.70 / $36.31
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $48.98 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $24.55 / $42.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.50 / $7.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $7.94 / $12.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $8.13 / $26.30