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Alabama rates for HCPCS 97161

Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $95.50 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $83.18 / $158.49
Aetna
Facility/Professional
Professional
Modifier
CQ
Low / Median / High Price
$19.05 / $19.05 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $58.88 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $95.50 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $64.57 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $70.79 / $81.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $77.62 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $74.13 / $97.72