go back

Iowa 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
$42.20 / $56.88 / $205.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.59 / $76.09 / $105.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.33 / $91.30 / $150.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.99 / $60.26 / $164.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.93 / $103.66 / $147.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $90.89 / $124.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.99 / $59.55 / $87.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.50 / $89.50 / $105.30