Tynbil: Know the *real* price for healthcare services

Montana 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 / $49.28 / $205.00	Professional	$44.79	$49.28	$205.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $110.42 / $110.42	Professional	$110.42	$110.42	$110.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $89.01 / $110.42	Professional	$58.32	$89.01	$110.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $93.95 / $121.98	Professional	$62.39	$93.95	$121.98
United Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $64.23 / $70.15	Professional	$52.66	$64.23	$70.15