| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
Medica
| Facility | $86.00 | $227.21 | $2,562.00 | |
United
| Facility | $139.00 | $712.00 | $1,615.00 |
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 | $760.00 | $3,576.00 | $7,500.00 | |
Medica
| Facility | $86.00 | $227.21 | $2,562.00 | |
United
| Facility | $139.00 | $712.00 | $1,615.00 |