| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $147.00 | $189.77 | $909.52 | |
United
| Facility | $1,050.00 | $1,275.00 | $1,672.00 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $147.00 | $189.77 | $909.52 | |
United
| Facility | $1,050.00 | $1,275.00 | $1,672.00 |