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Indiana 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
$85.03 / $242.59 / $397.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.61 / $70.86 / $102.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.68 / $81.47 / $181.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.87 / $74.63 / $109.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.69 / $112.43 / $131.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.69 / $105.95 / $126.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $80.00 / $275.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.53 / $86.23 / $146.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.93 / $77.89 / $104.76