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Georgia 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 / $51.29 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $61.66 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $53.70 / $112.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $79.43 / $181.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $60.26 / $89.13