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North Carolina 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
$36.96 / $49.28 / $116.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $50.21 / $89.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.57 / $54.49 / $92.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.85 / $71.48 / $71.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.34 / $71.20 / $127.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.46 / $58.38 / $89.86
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.67 / $588.23 / $588.23