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Nationwide rates for HCPCS 97004

Occupational Therapy Re-Evaluation

Facilitymedian $62 · 10th–90th $29–$1740%10%10th90th$62Professionalmedian $54 · 10th–90th $42–$2340%20%10th90th$54$10.0$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
$83.18 / $120.23 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $173.78 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $52.48 / $69.18

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