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Oregon 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
$42.20 / $57.86 / $185.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.92 / $96.60 / $183.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.35 / $167.03 / $190.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.68 / $114.76 / $178.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.58 / $124.97 / $180.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.18 / $84.19 / $182.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.46 / $64.23 / $151.94