| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $331.13 | $331.13 | $331.13 | |
Medica
| Professional | $776.25 | $776.25 | $776.25 | |
United
| Professional | $77.62 | $77.62 | $77.62 |
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 |
|---|---|---|---|---|---|
Medica
| Facility | $331.13 | $331.13 | $331.13 | |
Medica
| Professional | $776.25 | $776.25 | $776.25 | |
United
| Professional | $77.62 | $77.62 | $77.62 |