go back

Wyoming 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
Professional
Modifier
Low / Median / High Price
$70.38 / $76.00 / $76.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $125.00 / $125.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.97 / $80.22 / $143.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.76 / $60.27 / $168.76