| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $432.34 | $432.34 | $432.34 | |
Cigna
| Facility | $1,005.81 | $1,005.81 | $1,005.81 | |
Martin's Point
| Facility | $432.34 | $432.34 | $432.34 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $432.34 | $432.34 | $432.34 | |
Cigna
| Facility | $1,005.81 | $1,005.81 | $1,005.81 | |
Martin's Point
| Facility | $432.34 | $432.34 | $432.34 |