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Arkansas rates for HCPCS 97163

Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.94 / $86.55 / $158.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.74 / $66.00 / $122.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.29 / $103.29 / $134.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.66 / $133.66 / $133.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.88 / $99.90 / $103.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $70.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.97 / $83.82 / $101.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.70 / $76.30 / $108.59