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Maryland 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
$87.57 / $87.57 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.60 / $144.00 / $512.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.00 / $660.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.56 / $80.56 / $80.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.44 / $68.44 / $68.44