| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Denver HMP
| Facility | $64.48 | $85.97 | $119.28 | |
Kaiser Permanente
| Professional | $85.97 | $99.58 | $143.28 |
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 |
|---|---|---|---|---|---|
Denver HMP
| Facility | $64.48 | $85.97 | $119.28 | |
Kaiser Permanente
| Professional | $85.97 | $99.58 | $143.28 |