| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $77.00 | $98.45 | $466.00 | |
United
| Facility | $1,050.00 | $1,275.00 | $1,672.00 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $77.00 | $98.45 | $466.00 | |
United
| Facility | $1,050.00 | $1,275.00 | $1,672.00 |