| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.98 | $89.98 | $8,500.00 | |
Medica
| Facility | $76.20 | $124.08 | $263.00 | |
United
| Facility | $271.00 | $1,146.00 | $1,978.00 |
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 | $89.98 | $89.98 | $8,500.00 | |
Medica
| Facility | $76.20 | $124.08 | $263.00 | |
United
| Facility | $271.00 | $1,146.00 | $1,978.00 |