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Utah rates for HCPCS G0129

Occupational therapy services requiring the skills of a qualified occupational therapist, furnished as a component of a partial hospitalization or intensive outpatient treatment program, per session (45 minutes or more)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $20.83 / $20.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.83 / $20.83 / $29.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.00 / $72.00 / $75.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00