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Maine 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
$72.00 / $72.00 / $72.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $72.00 / $400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.44 / $69.20 / $69.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $512.00 / $512.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $72.00 / $400.00