| 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 | $154.88 | $190.55 | $660.69 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |
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 | $323.59 | $6,025.60 | $8,709.64 | |
U of Utah Health Plan
| Professional | $154.88 | $190.55 | $660.69 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |