Tynbil: Know the *real* price for healthcare services

Alabama 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 $42.20 / $51.41 / $70.59	Professional	$42.20	$51.41	$70.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $62.26 / $62.26	Professional	$62.26	$62.26	$62.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $78.17 / $85.99	Professional	$57.06	$78.17	$85.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $55.78 / $81.06	Professional	$24.36	$55.78	$81.06
United Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $54.60 / $68.62	Professional	$41.94	$54.60	$68.62