| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.00 | $13.00 | $13.00 | |
Wellpoint
| Professional | $50.14 | $50.14 | $67.69 |
Rem Tx Amblyopia Tch Sprt Min 18 Traing Hr Ea 30
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.00 | $13.00 | $13.00 | |
Wellpoint
| Professional | $50.14 | $50.14 | $67.69 |