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Massachusetts 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
$333.33 / $333.33 / $333.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.57 / $333.33 / $400.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.00 / $491.00 / $491.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.00 / $614.00 / $614.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $285.29 / $512.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.83 / $129.66 / $225.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.00 / $491.00 / $491.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.00 / $614.00 / $614.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.00 / $367.00 / $367.00