Tynbil: Know the *real* price for healthcare services

Washington, DC 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 $37.15 / $47.86 / $67.61	Professional	$37.15	$47.86	$67.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $275.42	Professional	$53.70	$83.18	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $186.21	Professional	$38.02	$54.95	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $125.89	Professional	$75.86	$75.86	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $154.88	Professional	$44.67	$72.44	$154.88