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
| Facility | $87.57 | $95.45 | $95.45 | |
Aetna
| Professional | $87.57 | $87.57 | $125.82 | |
Cigna
| Professional | $285.29 | $285.29 | $285.29 | |
Medica
| Facility | $87.57 | $87.57 | $140.11 | |
Medica
| Professional | $614.00 | $614.00 | $614.00 | |
United
| Professional | $367.00 | $367.00 | $367.00 |