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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
$41.07 / $57.69 / $148.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $108.45 / $590.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.67 / $71.09 / $171.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $74.88 / $154.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.61 / $101.30 / $178.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.56 / $129.99 / $173.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.09 / $71.42 / $120.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.46 / $64.23 / $172.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.06 / $78.98 / $78.98