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Michigan 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
$33.13 / $48.02 / $62.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $62.83 / $95.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.14 / $60.50 / $95.92
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.62 / $51.41 / $75.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.30 / $66.78 / $93.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.91 / $54.60 / $64.23