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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
$33.11 / $50.12 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $70.79 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $75.86 / $162.18
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $63.10 / $93.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $97.72 / $144.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $58.88 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $69.18 / $128.82