| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Professional | $44.41 | $75.00 | $100.00 | |
Molina
| Professional | $45.00 | $45.00 | $50.00 |
Remote treatment of amblyopia using an eye tracking device; surveillance center technical support including data transmission with analysis, with a minimum of 18 training hours, each 30 days
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Professional | $44.41 | $75.00 | $100.00 | |
Molina
| Professional | $45.00 | $45.00 | $50.00 |