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New Hampshire 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
$30.90 / $46.77 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $69.18 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $57.54 / $131.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $109.65 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $66.07 / $138.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67