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Minnesota 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
$63.24 / $63.24 / $179.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.31 / $51.29 / $169.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.18 / $91.81 / $182.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.75 / $155.38 / $188.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.96 / $234.03 / $385.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.05 / $75.51 / $120.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.59 / $228.90 / $303.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.46 / $59.46 / $110.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.25 / $108.57 / $188.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.23 / $69.56 / $197.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.23 / $60.27 / $163.78