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Occupational Therapy Re-Evaluation

Illinois rates for HCPCS 97168

This is a follow-up assessment by an occupational therapist to check a patient's progress on an existing treatment plan and adjust the goals or approach as needed. It is used when there has been a meaningful change in a patient's condition or function since the original evaluation.

Professionalmedian $56 · 10th–90th $41$980%10%20%10th90th$56$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$51.29
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$75.86
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$112.20
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$177.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$93.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$56.23
Typical High
$93.33