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Wisconsin rates for HCPCS 97003

Occupational Therapy Evaluation

Facilitymedian $182 · 10th–90th $72–$2950%20%10th90th$182Professionalmedian $85 · 10th–90th $68–$8130%20%10th90th$85$100.0$200.0$500.0

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
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $245.47 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $83.18 / $85.11
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $89.13 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $114.82 / $295.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $295.12 / $295.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $812.83 / $812.83