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 $34.67 / $47.86 / $67.61	Professional	$34.67	$47.86	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional	$53.70	$53.70	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $91.20	Professional	$54.95	$77.62	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $57.54	Professional	$33.11	$48.98	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $66.07	Professional	$41.69	$54.95	$66.07