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Kentucky 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 / $84.95 / $84.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.78 / $84.95 / $103.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $90.00 / $127.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,249.74 / $40,424.60 / $55,999.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47,249.53 / $48,999.51 / $50,749.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.23 / $202.00 / $202.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $3,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.00 / $233.00 / $233.00