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Physical Therapy Evaluation, Moderate Complexity

New Mexico rates for HCPCS 97162

This is an initial evaluation by a physical therapist to assess a person's condition, movement, and physical function in order to build a treatment plan. It reflects a moderate level of clinical complexity, more involved than the most straightforward evaluations but less involved than the most complex cases.

Facilitymedian $145 · 10th–90th $76$1,0230%10%10th90th$145Professionalmedian $85 · 10th–90th $48$2400%20%10th90th$85$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$144.54
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$85.11
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$707.95
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$144.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$141.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$114.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$123.03