| Code | Description | States | Median rate |
|---|---|---|---|
| 97010 | Hot or cold pack therapy | 24 | $6.71 |
| 97012 | Mechanical traction treatment | 41 | $12.82 |
| 97014 | Electrical stimulation, unattended | 34 | $11.65 |
| 97016 | Vasopneumatic compression device treatment | 43 | $11.71 |
| 97018 | Paraffin bath treatment | 44 | $5.91 |
| 97022 | Whirlpool treatment | 43 | $13.58 |
| 97024 | Diathermy treatment | 40 | $6.16 |
| 97026 | Infrared light treatment | 39 | $5.93 |
| 97028 | Ultraviolet light treatment (therapy modality) | 41 | $6.96 |
| 97032 | Electrical stimulation, attended, each 15 minutes | 44 | $12.95 |
| 97033 | Iontophoresis drug delivery, each 15 minutes | 41 | $15.99 |
| 97034 | Contrast bath treatment, each 15 minutes | 42 | $12.15 |
| 97035 | Therapeutic ultrasound, each 15 minutes | 42 | $11.41 |
| 97036 | Hubbard tank treatment, each 15 minutes | 42 | $27.08 |
| 97039 | Unlisted therapy modality | 18 | $11.40 |
| 97110 | Therapeutic exercise, each 15 minutes | 45 | $24.42 |
| 97112 | Neuromuscular re-education, each 15 minutes | 44 | $27.41 |
| 97113 | Aquatic therapy with exercises, each 15 minutes | 42 | $29.90 |
| 97116 | Gait training, each 15 minutes | 44 | $22.98 |
| 97124 | Massage therapy, each 15 minutes | 42 | $23.13 |
| 97129 | Cognitive function therapy, first 15 minutes | 37 | $19.43 |
| 97130 | Cognitive function therapy, each added 15 minutes | 37 | $18.56 |
| 97139 | Unlisted therapeutic procedure | 20 | $13.12 |
| 97140 | Manual therapy, each 15 minutes | 44 | $23.24 |
| 97150 | Group therapeutic procedure | 42 | $15.13 |
| 97151 | Behavior identification assessment (ABA), each 15 minutes | 33 | $29.14 |
| 97152 | Behavior identification assessment by technician, 15 min | 25 | $23.48 |
| 97153 | Adaptive behavior treatment by protocol (ABA), each 15 minutes | 36 | $17.01 |
| 97154 | Group adaptive behavior treatment by protocol, 15 min | 32 | $8.35 |
| 97155 | Adaptive behavior treatment with protocol modification (ABA), each 15 min | 35 | $23.78 |
| 97156 | Family adaptive behavior treatment guidance (ABA), each 15 minutes | 34 | $22.82 |
| 97157 | Multi-family group behavior treatment guidance, 15 min | 20 | $12.40 |
| 97158 | Group adaptive behavior treatment, protocol change, 15 min | 27 | $14.28 |
| 97161 | Physical therapy evaluation, low complexity | 42 | $79.62 |
| 97162 | Physical therapy evaluation, moderate complexity | 42 | $79.62 |
| 97163 | Physical therapy evaluation, high complexity | 43 | $79.98 |
| 97164 | Physical therapy re-evaluation | 42 | $54.78 |
| 97165 | Occupational therapy evaluation, low complexity | 42 | $81.48 |
| 97166 | Occupational therapy evaluation, moderate complexity | 42 | $81.19 |
| 97167 | Occupational therapy evaluation, high complexity | 43 | $83.05 |
| 97168 | Occupational therapy re-evaluation | 42 | $56.54 |
| 97530 | Therapeutic activities for functional performance, each 15 minutes | 46 | $28.65 |
| 97533 | Sensory integration therapy, each 15 minutes | 39 | $47.60 |
| 97535 | Self-care and home management training, each 15 minutes | 41 | $24.88 |
| 97537 | Community or work reintegration training, 15 minutes | 29 | $24.27 |
| 97542 | Wheelchair assessment and training, each 15 minutes | 40 | $26.45 |
| 97550 | Caregiver training without patient, first 30 minutes | 20 | $43.10 |
| 97551 | Caregiver training without patient, each added 15 min | 20 | $21.43 |
| 97552 | Group caregiver training without patient | 17 | $17.89 |
| 97597 | Open wound debridement, first 20 sq cm | 47 | $72.90 |
| 97598 | Open wound debridement, each added 20 sq cm | 45 | $41.35 |
| 97602 | Wound care, non-selective debridement, per session | 32 | $31.65 |
| 97605 | Vacuum wound therapy, durable pump, up to 50 sq cm | 38 | $32.46 |
| 97606 | Vacuum wound therapy, durable pump, over 50 sq cm | 38 | $37.82 |
| 97607 | Negative pressure wound therapy, disposable, up to 50 sq cm | 35 | $246.37 |
| 97608 | Negative pressure wound therapy, disposable, over 50 sq cm | 34 | $260.30 |
| 97610 | Low-frequency ultrasound wound therapy, per day | 22 | $259.51 |
| 97750 | Physical performance test with written report, each 15 minutes | 40 | $26.33 |
| 97755 | Assistive technology assessment, 15 minutes | 26 | $31.23 |
| 97760 | Orthotic fitting and training, first visit, each 15 min | 39 | $37.43 |
| 97761 | Prosthetic training, first visit, each 15 minutes | 38 | $32.26 |
| 97763 | Orthotic or prosthetic training, later visit, each 15 min | 39 | $41.20 |
| 97802 | Medical nutrition therapy, initial, each 15 minutes | 34 | $28.99 |
| 97803 | Medical nutrition therapy, follow-up, each 15 minutes | 33 | $24.84 |
| 97804 | Medical nutrition therapy, group, each 30 minutes | 27 | $13.79 |
| 97810 | Acupuncture, no electrical stimulation, first 15 minutes | 11 | $28.69 |
| 97813 | Acupuncture with electrical stimulation, first 15 minutes | 10 | $32.77 |
| 97814 | Acupuncture with electrical stimulation, added 15 min | 10 | $22.38 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.