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Maine 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
$97.72 / $107.15 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $52.48 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $70.79 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $74.13 / $158.49
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $104.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $141.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $107.15 / $112.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $61.66 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $70.79 / $128.82