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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
$35.79 / $48.53 / $115.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.14 / $65.37 / $119.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.15 / $60.50 / $99.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.73 / $84.86 / $202.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $76.52 / $113.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.25 / $62.51 / $91.11