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Idaho 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
$77.77 / $77.77 / $126.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.53 / $58.95 / $74.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $75.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.93 / $54.88 / $81.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.01 / $65.83 / $84.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.70 / $111.54 / $135.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $111.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.96 / $104.36 / $155.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.60 / $74.81 / $99.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.76 / $60.27 / $62.61