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Oklahoma 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
$69.18 / $89.13 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $77.62 / $125.89
Aetna
Facility/Professional
Professional
Modifier
CQ
Low / Median / High Price
$144.54 / $144.54 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
CQ
Low / Median / High Price
$120.23 / $120.23 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $93.33 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $95.50 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $64.57 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $81.28 / $128.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $83.18 / $218.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $79.43 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $77.62 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $74.13 / $102.33