| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.10 | $95.50 | $100.00 | |
United
| Facility | $109.65 | $109.65 | $109.65 | |
United
| Professional | $125.89 | $158.49 | $288.40 |
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 | $63.10 | $95.50 | $100.00 | |
United
| Facility | $109.65 | $109.65 | $109.65 | |
United
| Professional | $125.89 | $158.49 | $288.40 |