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Montana rates for HCPCS 97162

Physical Therapy Evaluation Mod Complex 30 Mins

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.00 / $208.00 / $236.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.12 / $77.25 / $326.00
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
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.27 / $158.27 / $158.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.53 / $158.27 / $188.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.73 / $125.45 / $158.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.23 / $90.52 / $158.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.60 / $135.66 / $176.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.63 / $87.70 / $100.86