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Oregon 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
Professional
Modifier
Low / Median / High Price
$60.26 / $83.18 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $36.31 / $199.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $169.82 / $177.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $151.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $83.18 / $125.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $398.11 / $426.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $87.10 / $147.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $79.43 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $54.95 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82