Moderate Complexity Occupational Therapy Evaluation

CPT Code: 97166

A moderate complexity occupational therapy evaluation, lasting 30 minutes.

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Actual driving distances may vary
Provider NameSort by Provider Name Estimate of Procedure Cost Estimate of Procedure Cost
This is an estimate of the total charge for the health care service before any discounts provided to the uninsured.
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Number of Visits Number of Visits
When the number of visits varies, it is difficult to estimate the total cost of care. This indicates the number of visits you can expect, calculated using the median. To determine the total you might pay, multiply the Estimate of Procedure Cost and the Statewide Average for Number of Visits.
- Above Average: Expect to visit the provider more than the average number of visits.
- Near Average: Expect the visit the provider close to the average number of visits.
- Below Average: Expect to visit the provider less than the average number of visits.
Uninsured Discount Uninsured Discount
The minimum discount rate that the health care provider gives to the New Hampshire Insurance Department. The actual discount depends on your financial status and the health care provider’s charity care policy.
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What You Will Pay What You Will Pay
The estimated charge amount minus the uninsured discount (when available).
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Statewide Averages $328 1
$491 Near Average 91% $44
Concord Hospital
Concord, NH
$333 Near Average 64% $120
Elliot Hospital
Manchester, NH
$296 Near Average 57% $127
St. Joseph Hospital
Nashua, NH
$328 Near Average 61% $128
$342 Near Average 62% $130
Catholic Medical Center
Manchester, NH
$398 Near Average 67% $131
Exeter Hospital
Exeter, NH
$382 Near Average 60% $153
$194 Near Average 0% $194
$478 Near Average 57% $205
$303 Near Average 31% $209
$376 Near Average 39% $229
$441 Near Average 41% $260
$322 Near Average 0% $322
$368 Near Average 0% $368
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