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Occupational Therapy Evaluation, High Complexity

Missouri rates for HCPCS 97167

This is a thorough evaluation performed by an occupational therapist to assess a patient's ability to perform daily activities, such as dressing, cooking, or work tasks, when the patient's condition involves multiple complicating factors. It typically includes a detailed history, standardized assessments, and clinical judgment to develop a treatment plan for a patient with a more complex presentation than a routine evaluation. This level reflects more time and clinical complexity than a basic evaluation.

Rates data updated July 2026.

Professionalmedian $78 · 10th–90th $52$2000%10%10th90th$78$50.0$100.0$200.0$500.0

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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$57.54
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$134.90