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Kentucky 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
$38.75 / $45.76 / $84.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $49.09 / $60.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.84 / $84.31 / $107.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $61.01 / $93.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.43 / $32.34 / $42.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.73 / $54.08 / $66.25