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Virginia 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
$35.29 / $48.00 / $65.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $51.58 / $69.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.12 / $55.29 / $96.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.68 / $60.03 / $92.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.94 / $74.75 / $92.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $85.00 / $121.71
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.63 / $65.75 / $132.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.48 / $59.11 / $80.48