| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $3,981.07 | $6,918.31 | |
Hometown Health
| Professional | $13.18 | $181.97 | $363.08 | |
United
| Facility | $199.53 | $1,047.13 | $1,995.26 |
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 | $724.44 | $3,981.07 | $6,918.31 | |
Hometown Health
| Professional | $13.18 | $181.97 | $363.08 | |
United
| Facility | $199.53 | $1,047.13 | $1,995.26 |