| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.00 | $251.00 | $257.00 | |
Aetna
| Professional | $251.00 | $251.00 | $251.00 | |
BCBS
| Facility | $38.72 | $43.17 | $101.44 | |
BCBS
| Professional | $41.85 | $50.65 | $68.78 |
Rem Tx Amblyopia Dev Supply 1st Setup&Pt Educaj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.00 | $251.00 | $257.00 | |
Aetna
| Professional | $251.00 | $251.00 | $251.00 | |
BCBS
| Facility | $38.72 | $43.17 | $101.44 | |
BCBS
| Professional | $41.85 | $50.65 | $68.78 |
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