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Alaska 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
Professional
Modifier
Low / Median / High Price
$84.19 / $84.95 / $124.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.95 / $89.20 / $125.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.99 / $195.99 / $195.99
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,495.87 / $3,495.87 / $3,495.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.95 / $84.95 / $118.93