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New Mexico 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.

Facilitymedian $100 · 10th–90th $66–$7080%10%20%10th90th$100Professionalmedian $58 · 10th–90th $33–$1700%10%20%10th90th$58$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $100.00 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $57.54 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $489.78 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $48.98 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $75.86 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $67.61 / $97.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $107.15
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $64.57 / $89.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $67.61 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $60.26 / $83.18