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Utah 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 / $57.54 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $58.88 / $131.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $131.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $81.28
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $72.44 / $83.18
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $95.50 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $63.10 / $64.57