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New Hampshire 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
$63.10 / $117.49 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $81.28 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $97.72 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $81.28 / $190.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $158.49 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $190.55
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $77.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70