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Illinois 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 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $75.86 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $53.70 / $109.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $100.00 / $177.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $93.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $56.23 / $81.28