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Alaska rates for HCPCS 97164

Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.81 / $184.64 / $466.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.45 / $67.31 / $168.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.90 / $178.90 / $178.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.50 / $48.51 / $81.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.77 / $114.59 / $134.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.67 / $181.17 / $220.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.95 / $114.95 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.54 / $115.92 / $228.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.36 / $114.59 / $178.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.97 / $91.85 / $164.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.28 / $154.46 / $216.24