go back

Mississippi 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
$41.88 / $56.48 / $87.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $57.00 / $57.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.32 / $60.26 / $84.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.62 / $54.60 / $78.73