| 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; 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 |
|---|---|---|---|---|---|
Asuris Northwest Health
| Professional | $44.41 | $75.00 | $100.00 | |
Molina
| Professional | $45.00 | $45.00 | $50.00 |