| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $107.64 | $140.52 | $212.63 | |
United
| Facility | $1,258.00 | $1,258.00 | $1,258.00 |
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 |
|---|---|---|---|---|---|
Medcost
| Facility | $107.64 | $140.52 | $212.63 | |
United
| Facility | $1,258.00 | $1,258.00 | $1,258.00 |