| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $389.05 | $389.05 | $389.05 | |
United
| Facility | $1,258.93 | $2,511.89 | $6,309.57 | |
United
| Professional | $33.11 | $44.67 | $66.07 |
Intraoperative visual axis identification using patient fixation (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $389.05 | $389.05 | $389.05 | |
United
| Facility | $1,258.93 | $2,511.89 | $6,309.57 | |
United
| Professional | $33.11 | $44.67 | $66.07 |