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Work or Disability Evaluation Exam

Massachusetts rates for HCPCS 99456

A detailed examination and written report on how an injury or illness affects a person's ability to work, carried out by a doctor who is not the patient's usual treating doctor. It covers the history, an examination, a diagnosis, an opinion on what the person can and cannot do, and completion of the required forms and reports.

Facilitymedian $263 · 10th–90th $76$3310%20%40%10th90th$263Professionalmedian $87 · 10th–90th $87$3980%50%90th$87$50.0$100.0$200.0$500.0$1.0K

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$398.11
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$288.40
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$112.20
Typical High
$223.87
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$112.20
Typical High
$223.87
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$616.60
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$173.78
Typical High
$380.19