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Washington 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
$87.10 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $194.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $50.12 / $70.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $398.11 / $426.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $43.65 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $151.36 / $380.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18