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Massachusetts 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
$35.29 / $47.18 / $101.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.61 / $79.75 / $187.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.66 / $94.58 / $138.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $65.88 / $168.76
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.41 / $68.76 / $116.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.84 / $142.04 / $209.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.30 / $109.30 / $109.30
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.23 / $70.58 / $439.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.23 / $69.90 / $144.10