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Nevada 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
$84.19 / $84.95 / $125.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.17 / $70.79 / $158.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $84.00 / $157.66
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $200.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30