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Texas rates for HCPCS 97004

Occupational Therapy Re-Evaluation

Facilitymedian $54 · 10th–90th $29–$1740%10%10th90th$54Professionalmedian $234 · 10th–90th $234–$2340%50%$234$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. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $53.70
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $48.98 / $74.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $50.12 / $74.13