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Nationwide rates for HCPCS 99456

Work related or medical disability examination by other than 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.

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $125.89 / $398.11	Facility	$87.10	$125.89	$398.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $398.11	Professional	$87.10	$87.10	$398.11
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $194.98 / $218.78	Facility	$158.49	$194.98	$218.78
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $79.43 / $190.55	Professional	$43.65	$79.43	$190.55
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Facility	$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $275.42 / $512.86	Professional	$104.71	$275.42	$512.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $173.78 / $204.17	Professional	$60.26	$173.78	$204.17

Nationwide rates for HCPCS 99456

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