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South Dakota 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
$63.24 / $63.24 / $63.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.53 / $49.65 / $96.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.90 / $59.46 / $75.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.65 / $71.31 / $136.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.99 / $54.11 / $133.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.20 / $102.75 / $115.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.90 / $86.53 / $138.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.48 / $100.80 / $135.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.99 / $53.63 / $107.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.00 / $94.70 / $111.40