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North Carolina rates for HCPCS 97004

Occupational Therapy Re-Evaluation

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.33 / $65.14 / $68.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.95 / $53.81 / $92.42
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $165.99 / $175.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.87 / $233.87 / $233.87