go back

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
$91.20 / $95.50 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $81.28 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $58.88 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $95.50 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $64.57 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $70.79 / $81.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $77.62 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $74.13 / $97.72