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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.31 | $150.00 | $326.00 | |
Aetna
| Professional | $55.29 | $66.76 | $163.19 | |
BCBS
| Professional | $58.60 | $87.24 | $154.44 | |
Cigna
| Facility | $55.00 | $65.00 | $95.00 | |
Cigna
| Professional | $46.14 | $84.36 | $127.74 | |
Lucent Health
| Facility | $197.61 | $458.69 | $516.79 | |
Lucent Health
| Professional | $633.66 | $633.66 | $824.10 | |
United
| Professional | $68.70 | $78.93 | $96.02 |