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| Service | Fee |
|---|---|
| Routine Visit with prescriptions as appropriate | $110 |
| Insurance Prior Authorization Requests for medications (typically once a year) | $30 |
| Off Work Note | $25 |
| Lab Orders & Cologuard for Colon CA screening | $65 |
| Radiology Orders Including Mammogram with Interpretation | $65 |
| Handicap Placard Forms or Disability Forms & Extensions | $75 |
| Disability Filing | |
| EDD | $75 |
| Employer Forms | $65 |
| Lab and Imaging Orders as needed | $50 |