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New Jersey 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
$34.67 / $47.86 / $144.54
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $53.70 / $87.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $134.90
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $56.23 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $57.54 / $75.86