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Illinois rates for HCPCS 97004

Occupational Therapy Re-Evaluation

Facilitymedian $120 · 10th–90th $83$2510%10%10th90th$120Professionalmedian $45 · 10th–90th $45$540%20%40%90th$45$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. 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
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $53.70