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Minnesota rates for HCPCS 97004

Occupational Therapy Re-Evalua

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.40 / $166.05 / $273.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.41 / $53.33 / $83.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.30 / $162.41 / $215.39
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.99 / $41.99 / $67.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.27 / $48.33 / $165.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $233.87 / $233.87