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Maryland 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
$58.76 / $104.31 / $337.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.31 / $51.66 / $212.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.51 / $52.84 / $58.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.00 / $105.10 / $180.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.86 / $54.08 / $92.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.68 / $76.38 / $106.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.78 / $63.50 / $74.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.19 / $56.98 / $102.80