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South Dakota 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
$44.79 / $49.89 / $116.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.19 / $65.59 / $80.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.97 / $61.14 / $127.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.92 / $89.01 / $139.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.26 / $103.69 / $139.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.97 / $57.20 / $152.85
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.50 / $97.40 / $114.60