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North Carolina 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
$87.57 / $87.57 / $87.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.57 / $87.57 / $400.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.76 / $75.00 / $81.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.93 / $108.94 / $512.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.20 / $87.57 / $147.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.25 / $180.00 / $180.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $328.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.00 / $367.00 / $367.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.20 / $614.00 / $614.00