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0373T Medicaid reimbursement rates by state

ABA therapy with two or more technicians on site. 13 state Medicaid programs publish a fee-for-service rate for 0373T at the technician level. Rates run from $10.00 in Louisiana to $69.39 in Virginia, with a median of $25.26.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
13
Median rate
$25.26units vary by state
Highest
$69.39Virginia
Medicare (non-facility)
—not on the physician fee schedule

0373T rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
VirginiaBehavior technician (RBT / BT) · Virginia Medicaid (fee-for-service, DMAS)$69.39since 2021-12-0115 min$277.56Plans negotiate; applies out of network—DMAS procedure fee file cptmedical1.csv
MarylandBehavior technician (RBT / BT) · Maryland Public Behavioral Health System (specialty mental health, SUD and ABA, paid fee-for-service through the Carelon ASO)$52.28since 2024-07-0115 min$209.12Paid by the state, outside plans—ABA Fee Schedule FY25
IllinoisBehavior technician (RBT / BT) · Illinois Medicaid (HFS fee-for-service)$46.39since 2022-01-151/4 hr—Plans negotiate; applies out of network—HFS Adaptive Behavior Support (ABS) Serv
GeorgiaBehavior technician (RBT / BT) · Georgia Medicaid (fee-for-service)$30.91since 2025-07-0115 min$123.64Plans negotiate; applies out of network—Georgia Medicaid Autism Spectrum Disorde
South CarolinaBehavior technician (RBT / BT) · South Carolina Healthy Connections Medicaid (fee-for-service)$30.00since 2026-08-1315 min$120.00Not classified—SCDHHS ASD Services Fee Schedule
IndianaBehavior technician (RBT / BT) · Indiana Medicaid (fee-for-service)$26.83since 2026-04-0115 min$107.32Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MissouriBehavior technician (RBT / BT) · Missouri MO HealthNet (fee-for-service)$25.26since 2022-07-0115 min$101.04Paid by the state, outside plans—MO HealthNet fee schedule: Applied Behav
MinnesotaBehavior technician (RBT / BT) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$24.19since 2024-11-0115 min$96.76Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
WashingtonBehavior technician (RBT / BT) · Washington Apple Health (Medicaid) fee-for-service$24.11since 2026-01-0115 min. units$96.44Plans must pay at least this—HCA ABA fee schedule (aba-20260101.xlsx)
WisconsinBehavior technician (RBT / BT) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$18.34since 2021-01-0115 min$73.36Plans negotiate; applies out of network—ForwardHealth interactive max fee schedu
New JerseyBehavior technician (RBT / BT) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$16.40since 2025-01-0115 min$65.60Not classified—NJMMIS Procedure Master Listing CPTHCPCS
FloridaBehavior technician (RBT / BT) · Florida Medicaid (fee-for-service)$12.19since 2026-01-0115 min$48.76Plans negotiate; applies out of network—Behavior Analysis Fee Schedule (Updated
LouisianaBehavior technician (RBT / BT) · Louisiana Medicaid (fee-for-service)$10.00since 2019-03-2015 min$40.00Plans must pay at least this—Louisiana Medicaid EPSDT Health Services

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 0373T?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $25.26. Virginia pays the most ($69.39 per 15 min) and Louisiana the least ($10.00 per 15 min).

Which state pays the highest Medicaid rate for 0373T?

Virginia, at $69.39 per 15 min ($277.56 per hour), effective 2021-12-01.

Do managed-care plans pay the same rate for 0373T?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.

Related ABA / autism services codes

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