Tynbil: Know the *real* price for healthcare services

Colorado 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 $38.13 / $48.63 / $68.53	Professional	$38.13	$48.63	$68.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $70.00 / $86.22	Professional	$50.48	$70.00	$86.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $54.92 / $82.71	Professional	$33.60	$54.92	$82.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $95.24 / $141.00	Professional	$65.88	$95.24	$141.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $64.23 / $70.08	Professional	$49.69	$64.23	$70.08