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Maine 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 / $48.02 / $116.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.40 / $70.94 / $113.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.04 / $65.59 / $118.20
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.94 / $60.94 / $93.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.61 / $88.62 / $146.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.68 / $49.28 / $79.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.53 / $64.48 / $93.99