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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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $61.66 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $87.10 / $109.65
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $120.23 / $125.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $64.57 / $70.79