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Minnesota 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
$42.20 / $49.28 / $120.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.10 / $156.13 / $189.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.48 / $77.30 / $120.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.87 / $60.87 / $113.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $64.23 / $202.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $63.68 / $187.64