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Montana 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 $9 · 10th–90th $5$540%10%20%10th90th$9Professionalmedian $26 · 10th–90th $5$360%10%20%10th90th$26$5.0$20.0$100.0$500.0$2.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $25.70 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $21.88 / $51.29
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $87.10
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $87.10
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $23.44 / $37.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $20.42 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $23.99 / $26.30