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New Mexico 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
$35.29 / $51.55 / $120.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.92 / $49.15 / $69.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.46 / $58.25 / $91.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $75.00 / $108.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.46 / $58.25 / $91.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.69 / $55.48 / $73.00