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Tennessee 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
$23.32 / $23.32 / $23.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $23.32 / $36.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.45 / $6.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $24.00 / $31.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.82 / $23.82 / $29.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $7.75 / $23.82