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South Dakota 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
$5.12 / $5.12 / $5.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $5.99 / $28.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.50 / $40.90 / $51.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $6.58 / $28.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.99 / $23.82 / $125.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.07 / $6.70 / $9.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $7.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.17 / $20.17 / $20.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $23.82 / $31.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $4.59