| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $99.97 | $146.49 | $352.36 |
Occupational Therapy - Evaluation or Re-evaluation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $99.97 | $146.49 | $352.36 |