| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.00 | $81.00 | $81.00 | |
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
Wellpoint
| Professional | $50.14 | $50.14 | $50.14 |
Rem Tx Amblyopia I&R Phys/Qhp Per Calendar Month
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.00 | $81.00 | $81.00 | |
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
Wellpoint
| Professional | $50.14 | $50.14 | $50.14 |