| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $3,162.28 | $7,943.28 | |
Medica
| Facility | $54.95 | $144.54 | $1,445.44 | |
United
| Facility | $190.55 | $524.81 | $1,905.46 |
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 | $204.17 | $3,162.28 | $7,943.28 | |
Medica
| Facility | $54.95 | $144.54 | $1,445.44 | |
United
| Facility | $190.55 | $524.81 | $1,905.46 |