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Nebraska rates for HCPCS 97004

Occupational Therapy Re-Evaluation

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $52.48 / $54.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $74.13 / $165.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $234.42 / $234.42