Should I have to pay for a letter of medical necessity?

At a recent visit to my PCP, I told him that I was considering wls and asked his opinion. He said he had many patients who've had it done and he would recommend the surgery to anyone who's health was at risk due to their obesity. So I asked if he would write a letter for my insurance company and he said yes. After waiting over one month for the letter, I'm now being asked to pay because there's a charge for preparing it. I find something very wrong with this, since I didn't just choose a PCP at the last minute to do this, but this is a doctor I've been going to ever since I moved here. Has anyone else had to pay for a letter of medical necessity? I would like to know, maybe I'm wrong to feel upset about being asked to pay.

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