| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $96.85 | $117.54 | $158.13 |
Rem Tx Amblyopia Dev Supply 1st Setup&Pt Educaj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $96.85 | $117.54 | $158.13 |