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Mississippi 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
$84.95 / $84.95 / $125.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.40 / $71.40 / $78.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $68.00 / $68.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.00 / $227.00 / $261.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $25.00 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.00 / $233.00 / $233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $208.95 / $208.95