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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
$36.96 / $40.68 / $54.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.89 / $69.54 / $89.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.21 / $65.98 / $131.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.61 / $119.42 / $245.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.10 / $65.73 / $89.46
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.89 / $57.05 / $87.51