go back

North Carolina 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
$51.56 / $67.45 / $185.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.84 / $51.29 / $90.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.84 / $75.41 / $119.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $51.78 / $94.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.00 / $186.00 / $186.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.42 / $49.09 / $93.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.95 / $63.78 / $80.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.74 / $63.78 / $63.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.50 / $106.44 / $123.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.69 / $55.74 / $92.25
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.63 / $153.53 / $359.43
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.51 / $570.08 / $570.08