go back

Louisiana 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
$77.54 / $100.64 / $363.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.45 / $75.53 / $142.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.84 / $153.03 / $238.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.58 / $79.14 / $93.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.97 / $94.97 / $94.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $72.00 / $225.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.15 / $85.46 / $104.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $74.76 / $93.75