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Georgia 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
$66.06 / $99.09 / $408.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.62 / $74.43 / $164.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.01 / $92.29 / $168.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.88 / $129.75 / $156.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.69 / $101.17 / $128.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $70.00 / $98.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.46 / $85.64 / $139.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.36 / $112.73 / $271.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $105.38 / $161.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.11 / $82.95 / $136.02