| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $31.47 | $115.75 | $115.75 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |
Ophthalmoscpy Extended Retinal Drawing I&R 1St
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $31.47 | $115.75 | $115.75 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |