go back

Idaho 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
$44.79 / $62.64 / $116.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $61.93 / $84.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.90 / $114.76 / $139.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $114.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.90 / $75.18 / $99.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.69 / $62.91 / $64.23