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Hawaii 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
$45.89 / $48.02 / $120.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.77 / $65.18 / $93.39
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.86 / $55.23 / $65.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $82.18 / $93.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.82 / $76.20 / $103.82
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $82.83 / $96.22