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Idaho 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
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $102.33 / $758.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $398.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $2,754.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $39.81 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $60.26 / $380.19