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 | $87.57 | $755.47 | |
BCBS
| Professional | $412.23 | $412.23 | $412.23 | |
Cigna
| Professional | $413.62 | $459.58 | $459.58 | |
Providence
| Facility | $87.57 | $93.70 | $831.02 | |
Providence
| Professional | $459.58 | $459.58 | $459.58 |