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Connecticut 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
$37.15 / $48.98 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $52.48 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $53.70 / $120.23
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $74.13 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $63.10 / $77.62