go back

Louisiana 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
$77.54 / $94.41 / $286.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.61 / $75.53 / $142.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.84 / $153.03 / $238.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $81.65 / $93.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.43 / $80.43 / $80.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $72.00 / $225.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.15 / $85.46 / $103.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $74.70 / $93.75