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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.77 | $210.00 | $284.23 | |
Aetna
| Professional | $58.45 | $71.55 | $163.19 | |
BCBS
| Professional | $191.58 | $218.43 | $256.98 | |
Cigna
| Professional | $85.67 | $107.08 | $133.34 | |
Medica
| Facility | $73.75 | $115.23 | $259.00 | |
Medica
| Professional | $68.78 | $133.66 | $236.00 | |
United
| Professional | $68.78 | $87.05 | $144.04 |