| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.12 | $71.12 | $71.12 | |
Aetna
| Professional | $20.00 | $20.00 | $71.12 | |
Medica
| Facility | $20.00 | $71.12 | $128.86 |
Basic life and/or disability examination that includes: Measurement of height, weight, and blood pressure; Completion of a medical history following a life insurance pro forma; Collection of blood sample and/or urinalysis complying with "chain of custody" protocols; and Completion of necessary documentation/certificates.
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.12 | $71.12 | $71.12 | |
Aetna
| Professional | $20.00 | $20.00 | $71.12 | |
Medica
| Facility | $20.00 | $71.12 | $128.86 |