go back

New York 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
$39.36 / $108.24 / $339.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.56 / $43.48 / $139.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.63 / $40.63 / $40.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.00 / $664.00 / $919.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.89 / $69.11 / $108.08
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.08 / $90.08 / $133.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.05 / $60.05 / $90.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.98 / $80.00 / $226.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.50 / $51.80 / $99.29
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $108.24 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $51.70 / $101.68
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.59 / $81.29 / $82.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.15 / $65.59 / $122.28
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.79 / $104.79 / $104.79
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.71 / $57.71 / $57.71
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.98 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.02 / $67.39 / $134.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.98 / $61.29 / $105.91
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.59 / $76.84 / $81.75
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.89 / $76.84 / $148.69