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Washington 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
$37.15 / $56.23 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $74.13 / $194.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $70.79 / $158.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $46.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $120.23 / $173.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $72.44 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $64.57 / $154.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $77.62 / $134.90