Tynbil: Know the *real* price for healthcare services

Missouri 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	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $49.19 / $124.54	Professional	$44.79	$49.19	$124.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $41.30 / $94.86	Professional	$29.38	$41.30	$94.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $58.42 / $104.85	Professional	$36.47	$58.42	$104.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $56.47 / $116.46	Professional	$40.15	$56.47	$116.46
United Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $56.75 / $98.83	Professional	$40.78	$56.75	$98.83