| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $3,388.44 | $14,791.08 | |
Harvard Pilgrim
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
United
| Facility | $7,413.10 | $7,413.10 | $7,413.10 |
Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $3,388.44 | $14,791.08 | |
Harvard Pilgrim
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
United
| Facility | $7,413.10 | $7,413.10 | $7,413.10 |