| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $131.83 | $131.83 | $131.83 | |
Medica
| Facility | $112.20 | $147.91 | $758.58 | |
United
| Facility | $758.58 | $1,288.25 | $3,981.07 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $131.83 | $131.83 | $131.83 | |
Medica
| Facility | $112.20 | $147.91 | $758.58 | |
United
| Facility | $758.58 | $1,288.25 | $3,981.07 |