| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $902.00 | $6,040.31 | $10,492.00 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |
Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $902.00 | $6,040.31 | $10,492.00 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |