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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.

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $83.18 / $162.18	Facility	$57.54	$83.18	$162.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $83.18 / $125.89	Professional	$57.54	$83.18	$125.89
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $194.98 / $218.78	Facility	$158.49	$194.98	$218.78
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $89.13 / $177.83	Professional	$56.23	$89.13	$177.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $199.53 / $288.40	Professional	$79.43	$199.53	$288.40
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Facility	$234.42	$234.42	$234.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $79.43 / $158.49	Professional	$50.12	$79.43	$158.49

Nationwide rates for HCPCS 99455

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