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Alabama 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
$60.04 / $84.95 / $84.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $36.00 / $44.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.80 / $261.05 / $261.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.00 / $233.00 / $233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.08 / $42.08 / $52.37