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Illinois 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
$54.95 / $87.10 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $53.70 / $134.90
Aetna
Facility/Professional
Professional
Modifier
CQ
Low / Median / High Price
$69.18 / $69.18 / $69.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $117.49 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $70.79 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $70.79 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $48.98 / $104.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $97.72 / $144.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $85.11 / $89.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $74.13 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $53.70 / $83.18