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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
$31.45 / $44.79 / $66.97
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $120.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.32 / $61.01 / $92.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $55.00 / $110.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.25 / $54.41 / $85.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.79 / $61.42 / $78.02