| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
Wellpoint
| Professional | $61.78 | $61.78 | $61.78 |
Treatment of amblyopia using an online digital program; assessment of patient performance and program data by physician or other qualified health care professional, with report, per calendar month
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
Wellpoint
| Professional | $61.78 | $61.78 | $61.78 |