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Alabama rates for HCPCS 97162

Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.68 / $95.07 / $139.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.45 / $75.89 / $110.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.79 / $57.99 / $78.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.68 / $95.45 / $112.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $65.00 / $70.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.07 / $76.06 / $100.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.01 / $74.55 / $86.56