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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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.13 / $54.45 / $215.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.62 / $69.42 / $254.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $61.01 / $83.61
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $61.01 / $84.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.98 / $74.86 / $160.38