go back

Iowa 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
$60.00 / $83.31 / $152.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.53 / $58.95 / $226.00
Aetna
Facility/Professional
Professional
Modifier
CQ
Low / Median / High Price
$37.27 / $37.27 / $45.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $65.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.90 / $74.31 / $105.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.54 / $88.37 / $120.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.85 / $87.93 / $316.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.95 / $56.66 / $158.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.20 / $102.75 / $138.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.68 / $103.53 / $146.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.61 / $88.11 / $122.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.87 / $53.63 / $88.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.00 / $87.00 / $102.40