go back

Minnesota 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
$91.50 / $91.50 / $179.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.11 / $75.73 / $263.20
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
$87.25 / $132.22 / $262.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.52 / $223.78 / $271.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.66 / $336.56 / $554.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.52 / $108.80 / $172.59
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.38 / $329.18 / $436.57
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.67 / $85.67 / $159.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.41 / $185.04 / $311.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.98 / $147.03 / $302.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.64 / $87.05 / $252.02