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Nebraska 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
$43.64 / $62.66 / $148.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.67 / $104.04 / $146.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.87 / $101.13 / $162.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.14 / $60.17 / $146.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.92 / $103.66 / $164.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.62 / $133.60 / $147.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.62 / $60.17 / $140.74