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Nationwide rates for HCPCS 97003

Occupational Therapy Evaluation

Facilitymedian $107 · 10th–90th $63–$2950%10%10th90th$107Professionalmedian $85 · 10th–90th $68–$8130%20%10th90th$85$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $213.80 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $251.19 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $83.18 / $109.65

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