go back

Colorado 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
$84.19 / $84.19 / $84.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.04 / $84.95 / $87.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.60 / $40.60 / $40.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.11 / $69.36 / $106.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.00 / $211.64 / $261.05
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.19 / $84.19 / $138.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $343.00 / $343.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.00 / $233.00 / $233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.13 / $320.00 / $320.00