| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.24 | $903.00 | $5,449.00 | |
Medcost
| Facility | $85.24 | $107.00 | $136.51 | |
United
| Facility | $361.00 | $833.00 | $1,928.00 | |
Wellcare
| Facility | $55.00 | $55.00 | $1,399.00 |
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 | $85.24 | $903.00 | $5,449.00 | |
Medcost
| Facility | $85.24 | $107.00 | $136.51 | |
United
| Facility | $361.00 | $833.00 | $1,928.00 | |
Wellcare
| Facility | $55.00 | $55.00 | $1,399.00 |