| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $645.65 | $645.65 | $645.65 | |
Medica
| Facility | $104.71 | $141.25 | $199.53 | |
United
| Facility | $1,412.54 | $1,412.54 | $1,412.54 |
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 | $645.65 | $645.65 | $645.65 | |
Medica
| Facility | $104.71 | $141.25 | $199.53 | |
United
| Facility | $1,412.54 | $1,412.54 | $1,412.54 |