| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.75 | $95.53 | $105.15 | |
BCBS
| Facility | $200.04 | $249.84 | $290.73 | |
Cigna
| Facility | $510.50 | $510.50 | $510.50 | |
United
| Professional | $70.27 | $114.91 | $145.97 |
Automated analysis of binocular eye movements without spatial calibration, including disconjugacy, saccades, and pupillary dynamics for the assessment of concussion, with interpretation and report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.75 | $95.53 | $105.15 | |
BCBS
| Facility | $200.04 | $249.84 | $290.73 | |
Cigna
| Facility | $510.50 | $510.50 | $510.50 | |
United
| Professional | $70.27 | $114.91 | $145.97 |