| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $194.25 | $194.25 | $194.25 | |
Pacific Source
| Facility | $27.93 | $39.90 | $57.00 |
Ophthalmoscopy, Extended As For Retinal Detachment (May Include Use Of Contact Lens, Drawing Or Sketch, And/Or Fu
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $194.25 | $194.25 | $194.25 | |
Pacific Source
| Facility | $27.93 | $39.90 | $57.00 |