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New York 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
$60.04 / $84.95 / $84.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.78 / $84.95 / $125.20
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
$0.02 / $76.50 / $138.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $202.00 / $231.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $597.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $320.00 / $320.00