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Michigan 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
$5.92 / $6.02 / $6.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $7.57 / $36.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.13 / $37.50 / $43.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.41 / $37.65 / $48.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $25.20 / $42.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.02 / $31.25 / $31.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $22.35 / $34.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.72 / $21.72 / $67.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $6.27 / $26.32