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South Dakota rates for HCPCS 97003

Occupational Therapy Evaluation

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $83.18 / $83.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $87.10 / $295.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $812.83 / $812.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $93.33 / $141.25