go back

California 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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $48.02 / $197.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.26 / $62.26 / $62.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.33 / $72.54 / $189.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.70 / $39.27 / $76.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $61.59 / $159.11
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.97 / $87.46 / $109.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.37 / $78.70 / $136.19
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.67 / $439.67 / $588.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $70.00 / $98.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $64.66 / $159.11
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.55 / $208.55 / $208.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.72 / $64.23 / $154.21