go back

Montana 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
Professional
Modifier
Low / Median / High Price
$39.53 / $51.29 / $223.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.89 / $109.89 / $109.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.41 / $109.89 / $130.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.59 / $86.53 / $109.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.66 / $57.45 / $109.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.46 / $93.49 / $121.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.50 / $60.27 / $70.48