go back

South 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
$48.98 / $63.10 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $51.29 / $102.33
Aetna
Facility/Professional
Professional
Modifier
CQ
Low / Median / High Price
$69.18 / $69.18 / $69.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $131.83 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $51.29 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $70.79 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $47.86 / $77.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $57.54 / $97.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $52.48 / $66.07