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North Dakota 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
$86.77 / $91.50 / $175.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.11 / $74.28 / $162.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.58 / $218.43 / $256.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.67 / $107.08 / $133.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.95 / $91.50 / $225.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.78 / $87.05 / $176.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.78 / $87.05 / $121.38