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Arkansas 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.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $79.43 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $257.04 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $102.33