| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $194.25 | $194.25 | $194.25 | |
Providence
| Facility | $81.00 | $81.00 | $81.00 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $194.25 | $194.25 | $194.25 | |
Providence
| Facility | $81.00 | $81.00 | $81.00 |