| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.00 | $87.00 | $87.00 | |
Moda Health
| Facility | $81.00 | $81.00 | $81.00 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 |
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 | $87.00 | $87.00 | $87.00 | |
Moda Health
| Facility | $81.00 | $81.00 | $81.00 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 |