| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Professional | $50.71 | $99.56 | $100.00 | |
Molina
| Professional | $45.00 | $45.00 | $50.00 |
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 |
|---|---|---|---|---|---|
Asuris Northwest Health
| Professional | $50.71 | $99.56 | $100.00 | |
Molina
| Professional | $45.00 | $45.00 | $50.00 |