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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
$39.13 / $49.19 / $75.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.42 / $73.28 / $79.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.28 / $66.36 / $109.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.23 / $100.25 / $174.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.59 / $87.46 / $93.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $100.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.72 / $56.83 / $84.91