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Nebraska 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
$72.45 / $158.57 / $182.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.45 / $67.64 / $169.60
Aetna
Facility/Professional
Professional
Modifier
CQ
Low / Median / High Price
$37.27 / $37.27 / $37.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.33 / $293.74 / $568.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.46 / $103.56 / $145.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.46 / $93.37 / $158.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $104.84 / $153.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.35 / $62.40 / $148.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.20 / $102.75 / $133.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.84 / $99.45 / $158.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.38 / $130.91 / $145.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $56.56 / $137.50