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Occupational Therapy Re-Evaluation

Maine rates for HCPCS 97168

This is a follow-up assessment by an occupational therapist to check a patient's progress on an existing treatment plan and adjust the goals or approach as needed. It is used when there has been a meaningful change in a patient's condition or function since the original evaluation.

Professionalmedian $55 · 10th–90th $36$1320%10%10th90th$55$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$89.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$75.86
Typical High
$162.18
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$63.10
Typical High
$93.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$97.72
Typical High
$144.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$52.48
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$74.13
Typical High
$134.90