| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.28 | $81.28 | $81.28 | |
Hally Health
| Professional | $151.36 | $151.36 | $151.36 |
Remote treatment of amblyopia using an eye tracking device; interpretation and report by physician or other qualified health care professional, per calendar month
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.28 | $81.28 | $81.28 | |
Hally Health
| Professional | $151.36 | $151.36 | $151.36 |