go back

Pennsylvania rates for RC 0424

Physical Therapy - Evaluation or Re-evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.00 / $115.00 / $190.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.69 / $158.15 / $298.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $75.00 / $175.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.29 / $106.79 / $274.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.00 / $115.00 / $190.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $75.00 / $157.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.00 / $105.00 / $166.49