Tynbil: Know the *real* price for healthcare services

Vermont 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	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $134.90	Professional	$30.90	$48.98	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $257.04	Professional	$56.23	$69.18	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $91.20	Professional	$53.70	$61.66	$91.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $257.04	Professional	$60.26	$109.65	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $151.36	Professional	$57.54	$75.86	$151.36