| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 |
Rem Tx Amblyopia Tch Sprt Min 18 Traing Hr Ea 30
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 |