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Vermont 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
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $26.92 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.89 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $23.99 / $28.84