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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
$34.67 / $51.29 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $53.70 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $58.88 / $58.88
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $74.13 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $52.48 / $81.28
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $588.84 / $588.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $56.23 / $123.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $114.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $104.71 / $251.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $52.48 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $53.70 / $72.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $66.07 / $69.18