| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $251.00 | $251.00 | $251.00 | |
Medica
| Facility | $251.00 | $360.56 | $687.74 |
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 | |
Medica
| Facility | $251.00 | $360.56 | $687.74 |