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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
$38.02 / $51.29 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $75.86 / $104.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $91.20 / $199.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $70.79 / $173.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $104.71 / $190.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $120.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $89.13 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $60.26 / $97.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $104.71