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Nationwide rates for HCPCS 99455

Work related or medical disability examination by the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commensurate with the patient's condition; Formulation of a diagnosis, assessment of capabilities and stability, and calculation of impairment; Development of future medical treatment plan; and Completion of necessary documentation/certificates and report.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $83.18 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $83.18 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $194.98 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $89.13 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $199.53 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $128.82 / $323.59