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West Virginia 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
$93.39 / $392.00 / $428.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.52 / $93.39 / $208.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.97 / $103.27 / $151.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.97 / $101.17 / $213.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.06 / $113.06 / $113.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.14 / $85.64 / $134.53
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.87 / $151.87 / $151.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.86 / $82.95 / $134.26