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Ohio 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
$35.79 / $47.18 / $78.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.90 / $51.14 / $92.63
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.37 / $52.99 / $52.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.83 / $72.86 / $92.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.44 / $65.88 / $96.04
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $75.61 / $112.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.54 / $68.38 / $97.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $54.60 / $74.69