go back

Delaware 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
$30.90 / $46.77 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $57.54 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $58.88 / $128.82