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Utah 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
$58.95 / $58.95 / $58.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.31 / $53.38 / $83.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.00 / $72.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.65 / $52.15 / $92.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.91 / $61.16 / $72.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.25 / $99.49 / $126.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.93 / $77.89 / $80.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.23 / $60.27 / $67.59