| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.57 | $300.00 | $400.00 | |
Cigna
| Professional | $105.60 | $105.60 | $105.60 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.57 | $300.00 | $400.00 | |
Cigna
| Professional | $105.60 | $105.60 | $105.60 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 |