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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
$77.54 / $99.70 / $286.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.45 / $75.53 / $127.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.84 / $153.03 / $238.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.62 / $73.95 / $93.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.04 / $92.04 / $92.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $72.00 / $225.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.15 / $85.46 / $103.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.01 / $74.70 / $95.16