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Texas 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
$33.13 / $47.18 / $65.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.10 / $55.41 / $55.41
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.42 / $74.16 / $101.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.97 / $52.09 / $90.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.67 / $439.67 / $588.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.06 / $86.94 / $111.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.94 / $70.26 / $142.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $52.33 / $92.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.24 / $54.22 / $70.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.35 / $67.42 / $80.00