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South Carolina 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
$70.73 / $95.81 / $240.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.74 / $70.73 / $101.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.47 / $160.38 / $325.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $52.78 / $100.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $70.00 / $120.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.53 / $80.01 / $100.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.73 / $93.68 / $142.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.01 / $73.16 / $94.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.22 / $114.44 / $183.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.11 / $76.13 / $96.74