go back

North Dakota 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
$86.77 / $147.50 / $298.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.45 / $71.55 / $162.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.58 / $218.43 / $256.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.67 / $107.08 / $133.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.75 / $103.26 / $287.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.78 / $119.09 / $228.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.78 / $87.05 / $121.38