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Pennsylvania 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
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.72 / $293.79 / $293.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.80 / $512.00 / $512.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.57 / $87.57 / $87.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.57 / $87.57 / $400.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $328.50 / $328.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $512.00 / $512.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.13 / $135.13 / $135.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.13 / $135.13 / $135.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.00 / $367.00 / $367.00