| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $651.00 | $651.00 | $651.00 | |
Medica
| Facility | $105.81 | $128.68 | $189.34 | |
United
| Facility | $1,418.00 | $1,418.00 | $1,418.00 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $651.00 | $651.00 | $651.00 | |
Medica
| Facility | $105.81 | $128.68 | $189.34 | |
United
| Facility | $1,418.00 | $1,418.00 | $1,418.00 |