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Vermont 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
$138.04 / $144.54 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $52.48 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $239.88 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $64.57 / $97.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $109.65 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $79.43 / $151.36