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Arizona 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
$81.18 / $211.38 / $388.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.12 / $75.73 / $310.00
Aetna
Facility/Professional
Professional
Modifier
CQ
Low / Median / High Price
$57.12 / $57.12 / $57.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.22 / $177.39 / $418.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.42 / $76.56 / $106.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $58.00 / $82.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.78 / $85.66 / $129.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.19 / $96.65 / $225.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.68 / $87.70 / $209.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.68 / $86.64 / $102.60