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Louisiana 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
$77.62 / $104.71 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $75.86 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $154.88 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $75.86 / $85.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $70.79 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $87.10 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $97.72 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $74.13 / $91.20