| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $1,819.70 | $1,995.26 | |
United
| Facility | $309.03 | $575.44 | $1,513.56 |
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 | $616.60 | $1,819.70 | $1,995.26 | |
United
| Facility | $309.03 | $575.44 | $1,513.56 |