| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,884.03 | $2,884.03 | |
Kaiser Permanente
| Professional | $77.62 | $85.11 | $100.00 | |
United
| Facility | $1,071.52 | $1,071.52 | $1,071.52 |
Use of ophthalmic endoscope (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,884.03 | $2,884.03 | |
Kaiser Permanente
| Professional | $77.62 | $85.11 | $100.00 | |
United
| Facility | $1,071.52 | $1,071.52 | $1,071.52 |