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South Carolina 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
$39.13 / $48.53 / $58.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $37.78 / $72.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $56.23 / $80.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.99 / $46.85 / $71.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.87 / $76.13 / $120.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.68 / $54.60 / $68.70