| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $6,025.60 | $8,709.64 | |
U of Utah Health Plan
| Professional | $213.80 | $263.03 | $707.95 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |
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 | $323.59 | $6,025.60 | $8,709.64 | |
U of Utah Health Plan
| Professional | $213.80 | $263.03 | $707.95 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |