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Tennessee 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
$60.04 / $84.95 / $110.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.20 / $27.20 / $27.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.00 / $210.00 / $210.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.00 / $202.00 / $246.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.00 / $451.00 / $451.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.00 / $451.00 / $451.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.00 / $233.00 / $233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.95 / $320.00 / $320.00