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Minnesota 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
$87.10 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,511.89 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $87.10 / $398.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $151.36 / $363.08