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Nebraska rates for HCPCS 97004

Occupational Therapy Re-Evaluation

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.99 / $52.28 / $65.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.13 / $111.33 / $175.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $233.87 / $233.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.12 / $68.00 / $107.01