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South 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
Professional
Modifier
Low / Median / High Price
$87.57 / $87.57 / $300.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.80 / $322.00 / $512.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.20 / $96.33 / $245.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.20 / $56.25 / $245.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.95 / $367.00 / $367.00