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South Dakota rates for HCPCS 97004

Occupational Therapy Re-Evaluation

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