| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $602.56 | $602.56 | $630.96 | |
Kaiser Permanente
| Professional | $138.04 | $158.49 | $302.00 | |
United
| Facility | $89.13 | $89.13 | $128.82 |
Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $602.56 | $602.56 | $630.96 | |
Kaiser Permanente
| Professional | $138.04 | $158.49 | $302.00 | |
United
| Facility | $89.13 | $89.13 | $128.82 |