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North Carolina 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 / $87.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $31.60 / $40.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.76 / $70.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.93 / $108.94 / $246.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.00 / $84.95 / $114.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.76 / $180.00 / $180.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.40 / $200.40 / $230.50
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
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.00 / $451.00 / $474.40