Tynbil: Know the *real* price for healthcare services

West Virginia 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 $41.07 / $48.02 / $64.08	Professional	$41.07	$48.02	$64.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $70.14 / $77.63	Professional	$55.15	$70.14	$77.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $61.01 / $92.15	Professional	$44.34	$61.01	$92.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $70.80 / $70.80	Professional	$70.80	$70.80	$70.80
United Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $56.38 / $90.57	Professional	$41.55	$56.38	$90.57