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Occupational Therapy Evaluation, High Complexity

Nevada 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 $74 · 10th–90th $52$1740%10%10th90th$74$1.0$5.0$20.0$100.0$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
$47.86
Median
$69.18
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$79.43
Typical High
$100.00
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$104.71
Typical High
$162.18
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Select Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$72.44
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$151.36