| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $133.02 | $184.69 | $477.67 | |
Providence
| Facility | $118.54 | $201.45 | $477.67 |
Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; complete
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $133.02 | $184.69 | $477.67 | |
Providence
| Facility | $118.54 | $201.45 | $477.67 |