| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $28.44 | $118.03 | $118.03 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |
Ophthalmoscpy Extended Retinal Drawing I&R Sbs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $28.44 | $118.03 | $118.03 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |