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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 $39.13 / $48.63 / $97.77	Professional	$39.13	$48.63	$97.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $55.95 / $92.63	Professional	$43.33	$55.95	$92.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $61.01 / $93.13	Professional	$41.99	$61.01	$93.13
United Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $61.42 / $83.44	Professional	$46.72	$61.42	$83.44

Nationwide rates for HCPCS 97168

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