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New York 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 $36 · 10th–90th $6–$360%20%40%10th$36Professionalmedian $29 · 10th–90th $5–$830%10%10th90th$29$5.0$10.0$20.0$50.0$100.0$200.0

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
$16.98 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $25.70 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $79.43 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $25.12 / $42.66
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $26.92
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.03 / $12.02
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $37.15 / $37.15
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $26.30 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $32.36 / $112.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $7.24 / $26.30
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $5.13 / $5.13
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.13 / $10.96