| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $100.00 | $245.73 | $296.72 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Occupational Therapy - Evaluation or Re-evaluation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $100.00 | $245.73 | $296.72 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |