| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
Wellpoint
| Professional | $38.49 | $38.49 | $38.49 |
Treatment of amblyopia using an online digital program; device supply, educational set-up, and initial session
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
Wellpoint
| Professional | $38.49 | $38.49 | $38.49 |