go back

Nevada 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
$87.10 / $186.21 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $79.43 / $251.19
Aetna
Facility/Professional
Professional
Modifier
CQ
Low / Median / High Price
$85.11 / $85.11 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $85.11 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $60.26 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $72.44 / $83.18
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $97.72 / $158.49
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $147.91
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $97.72 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $87.10 / $125.89