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Tennessee 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
$43.75 / $80.68 / $326.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.56 / $45.06 / $87.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.63 / $40.63 / $40.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.40 / $57.73 / $104.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $65.00 / $95.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $52.15 / $89.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.63 / $316.37 / $359.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.51 / $437.51 / $570.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.76 / $54.24 / $65.31