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 | $333.33 | $400.00 | |
Anthem BCBS
| Professional | $68.44 | $69.20 | $69.20 | |
Cigna
| Professional | $195.75 | $195.75 | $195.75 | |
Well Sense
| Professional | $281.36 | $2,875.00 | $4,410.00 |