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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
$38.02 / $50.12 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $58.88 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $51.29 / $75.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $54.95 / $66.07