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Missouri 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
$48.98 / $74.13 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $57.54 / $223.87
Aetna
Facility/Professional
Professional
Modifier
CQ
Low / Median / High Price
$45.71 / $45.71 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $33.11 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $70.79 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $70.79 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $125.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $63.10 / $154.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $56.23 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $53.70 / $85.11