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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
$43.65 / $61.66 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $75.86 / $77.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $61.66 / $151.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $104.71 / $107.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $114.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $95.50 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $57.54 / $147.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $97.72 / $114.82