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Arizona rates for HCPCS 97004

Occupational Therapy Re-Evaluation

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.41 / $42.41 / $53.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.40 / $49.64 / $165.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.87 / $233.87 / $233.87