| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $81.84 | $81.84 | $81.84 | |
Kaiser Permanente
| Professional | $66.22 | $77.91 | $93.49 | |
Medcost
| Facility | $64.09 | $80.88 | $120.06 | |
Sentara
| Facility | $66.87 | $79.73 | $106.49 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $81.84 | $81.84 | $81.84 | |
Kaiser Permanente
| Professional | $66.22 | $77.91 | $93.49 | |
Medcost
| Facility | $64.09 | $80.88 | $120.06 | |
Sentara
| Facility | $66.87 | $79.73 | $106.49 |