| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $777.43 | $777.43 | $777.43 | |
Health Alliance Plan
| Professional | $777.43 | $777.43 | $912.68 |
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 |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $777.43 | $777.43 | $777.43 | |
Health Alliance Plan
| Professional | $777.43 | $777.43 | $912.68 |