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Work or Disability Evaluation Exam

Montana 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 $110 · 10th–90th $87$7590%20%10th90th$110Professionalmedian $87 · 10th–90th $87$4170%50%90th$87$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
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$457.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$758.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$380.19