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Work or Disability Evaluation Exam

Texas 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 $98 · 10th–90th $87$6460%20%10th90th$98Professionalmedian $126 · 10th–90th $87$2090%20%10th90th$126$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$208.93
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$616.60
Typical High
$616.60
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$97.72
Typical High
$524.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$102.33
Typical High
$758.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$194.98
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$85.11