| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $65.28 | $65.28 | $71.81 | |
Medica
| Facility | $61.45 | $72.03 | $396.60 | |
United
| Facility | $750.00 | $1,300.00 | $3,999.00 |
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; limited
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $65.28 | $65.28 | $71.81 | |
Medica
| Facility | $61.45 | $72.03 | $396.60 | |
United
| Facility | $750.00 | $1,300.00 | $3,999.00 |