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Maine 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
$28.63 / $28.63 / $28.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $29.02 / $36.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.07 / $21.90 / $36.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $27.00 / $27.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.93 / $26.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $28.45 / $36.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.17 / $10.33 / $26.32