| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $208.93 | $208.93 | $208.93 | |
Providence
| Professional | $79.43 | $79.43 | $79.43 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $208.93 | $208.93 | $208.93 | |
Providence
| Professional | $79.43 | $79.43 | $79.43 |