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 $44.79 / $54.43 / $54.43	Professional	$44.79	$54.43	$54.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $55.29 / $158.40	Professional	$53.12	$55.29	$158.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $60.50 / $84.19	Professional	$41.96	$60.50	$84.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.39 / $78.68 / $78.68	Professional	$73.39	$78.68	$78.68
United Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $68.70 / $175.27	Professional	$44.33	$68.70	$175.27