go back

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
$91.31 / $95.07 / $139.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.45 / $75.89 / $110.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.79 / $57.99 / $78.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.68 / $95.45 / $112.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $65.00 / $70.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.07 / $76.06 / $100.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.76 / $74.55 / $86.56