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North Carolina 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
$72.13 / $80.83 / $80.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $26.98 / $72.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $5.07 / $11.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.97 / $5.97 / $5.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $23.71 / $31.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $9.02 / $80.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $7.00 / $29.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.82 / $23.82 / $29.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.38 / $8.90 / $23.82
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $70.00 / $85.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00