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Missouri rates for HCPCS 97004

Occupational Therapy Re-Evaluation

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.41 / $42.41 / $42.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.08 / $56.60 / $175.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.87 / $233.87 / $233.87