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Indiana 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
$87.57 / $87.57 / $300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.57 / $87.57 / $755.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $80.00 / $110.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,874.72 / $39,374.61 / $44,999.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,124.66 / $34,124.66 / $36,749.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.60 / $105.60 / $285.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.00 / $367.00 / $367.00