Work or disability exam by treating physician

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC WORK RLTD/MED DISABILITY EXAM

Payers reporting CPT 99455

Payer pricing summary

Low

Average

$274

Median

$200

High

$1.6k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	123	$770	$820	$419	51%	—	$0 – $1.7k
2	Aetna fee schedule · outpatient · +23 other terms	43	$98	$727	$1.8k	245%	—	$1 – $8.4k
3	UnitedHealthcare fee schedule · outpatient · +23 other terms	31	$152	$136	$65	48%	—	$10 – $220
4	Bcbs Tx fee schedule · outpatient · +2 other terms	28	$975	$879	$331	38%	—	$287 – $1.6k
5	Anthem fee schedule · outpatient · +17 other terms	20	$90	$89	$11	12%	—	$10 – $123
6	Medcost professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms	16	$276	$440	$190	43%	—	$276 – $678
7	Caresource facility · case rate · outpatient · +5 other terms	15	$63	$68	$16	23%	—	$42 – $108
8	Molina facility · case rate · outpatient · +14 other terms	15	$62	$68	$16	23%	—	$44 – $106
9	Ucare professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms	15	$276	$384	$194	51%	—	$97 – $712
10	Sanford Health Plan professional · percent of total billed charges · outpatientfrom % of charges · +4 other terms	14	$276	$420	$192	46%	—	$276 – $678
11	Medicaid fee schedule · outpatient · +5 other terms	13	$170	$166	$42	25%	—	$33 – $219
12	Wellmark fee schedule · both · +9 other terms	13	$153	$158	$32	20%	—	$153 – $350
13	Humana fee schedule · outpatient · +17 other terms	12	$85	$1.4k	$2.6k	188%	—	$10 – $8.3k
14	Optum facility · case rate · outpatient · +8 other terms	11	$59	$64	$14	22%	—	$53 – $96
15	Cigna fee schedule · both · +17 other terms	10	$105	$22	$60	267%	—	$0 – $269
16	Aetna Better Health fee schedule · inpatient · +5 other terms	9	$88	$269	$339	126%	—	$88 – $903
17	First Health professional · fee schedule · both · +12 other terms	9	$121	$108	$13	12%	—	$93 – $121
18	WellCare professional · fee schedule · both · +9 other terms	9	$0	$0	—	—	—	$0 – $0
19	Bcbs Il professional · fee schedule · both · +2 other terms	8	$88	$107	$161	151%	—	$0 – $350
20	Ambetter fee schedule · both · +9 other terms	6	$0	$15	$58	382%	—	$0 – $269
21	Kaiser fee schedule · outpatient · +8 other terms	5	$212	$238	$110	46%	—	$152 – $523
22	Regence facility · fee schedule · both · +7 other terms	3	$113	$96	$48	50%	—	$37 – $172
23	Tricare facility · fee schedule · both · +9 other terms	3	$124	$101	$63	63%	—	$37 – $222
24	Bcbs Id facility · fee schedule · both · +2 other terms	2	$87	$80	$41	51%	—	$37 – $167
25	Excellus fee schedule · outpatient · +5 other terms	2	$179	$179	—	—	—	$179 – $179

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