go back

New Hampshire 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
$43.24 / $79.65 / $237.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $43.24 / $62.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.14 / $67.59 / $87.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $54.88 / $132.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $116.08 / $238.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $61.60 / $86.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $53.39 / $81.90