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Pennsylvania rates for HCPCS 97004

Occupational Therapy Re-Evaluation

Facilitymedian $63 · 10th–90th $63–$890%20%40%90th$63Professionalmedian $48 · 10th–90th $42–$890%20%40%10th90th$48$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $89.13
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $47.86 / $89.13