| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $251.00 | $251.00 | $251.00 | |
Health Alliance Plan
| Professional | $251.00 | $251.00 | $257.00 |
Remote treatment of amblyopia using an eye tracking device; device supply with initial set-up and patient education on use of equipment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $251.00 | $251.00 | $251.00 | |
Health Alliance Plan
| Professional | $251.00 | $251.00 | $257.00 |