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Work or Disability Evaluation Exam

Washington 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 $398 · 10th–90th $240$3980%50%10th$398Professionalmedian $87 · 10th–90th $87$3980%50%90th$87$20.0$50.0$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
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
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$43.65
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$288.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$70.79
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$398.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$43.65
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$380.19
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18