| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $158.49 | $239.88 | |
BCBS
| Professional | $8.13 | $10.00 | $11.48 | |
Medica
| Facility | $100.00 | $123.03 | $239.88 |
Vision supply, accessory and/or service component of another HCPCS vision code
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $158.49 | $239.88 | |
BCBS
| Professional | $8.13 | $10.00 | $11.48 | |
Medica
| Facility | $100.00 | $123.03 | $239.88 |