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West Virginia 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
$22.01 / $22.01 / $22.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.33 / $36.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.21 / $20.21 / $303.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $20.21 / $119,998.80
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 / $24.97 / $24.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $8.66 / $23.82