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South Dakota rates for HCPCS 97004

Occupational Therapy Re-Evaluation

Facilitymedian $46 · 10th–90th $18$1660%10%10th90th$46Professionalmedian $52 · 10th–90th $42$850%20%40%10th90th$52$20.0$50.0$100.0$200.0

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
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $52.48 / $52.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $45.71 / $165.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $234.42 / $234.42
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $52.48 / $87.10