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Nationwide rates for HCPCS 97168

Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $114.82	Professional	$36.31	$51.29	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $100.00	Professional	$40.74	$58.88	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $112.20	Professional	$42.66	$60.26	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $83.18	Professional	$43.65	$56.23	$83.18

Nationwide rates for HCPCS 97168

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