Has anyone had to pay a professional to write a letter of medical necessity?

Has anyone heard of any of the professionals they are seeking letters of medical necessity from asking the patient to pay them to write the letter, or charging for the letter as they would a regular office visit when you pick it up? For example, if I ask my orthopedist or my gyno to write a letter of medical necessity, does this count as an office visit for them, even if all I do is show up and pick up the letter without seeing them? Have you heard of a medical office charging up to $25 for writing a letter of medical necessity if it was not charged as an office visit? Thank you!

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