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Maryland 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 / $51.41 / $148.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.25 / $53.12 / $55.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.99 / $60.26 / $93.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.05 / $78.68 / $110.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.88 / $64.23 / $78.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $58.71 / $105.73