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Wisconsin 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
$42.74 / $54.60 / $120.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.78 / $55.95 / $187.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $76.09 / $204.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $61.66 / $215.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.92 / $63.30 / $134.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.95 / $165.83 / $232.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.41 / $308.30 / $439.67
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.30 / $196.53 / $196.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.48 / $62.89 / $146.36