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Kansas 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
$84.95 / $92.60 / $92.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.95 / $84.95 / $84.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.20 / $52.20 / $52.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.49 / $189.99 / $189.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.71 / $246.71 / $246.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.95 / $84.95 / $123.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.00 / $451.00 / $451.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.00 / $233.00 / $233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.00 / $320.00 / $320.00