| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.24 | $112.68 | $241.71 | |
BCBS
| Facility | $8.59 | $8.59 | $9.44 | |
BCBS
| Professional | $9.00 | $9.00 | $10.74 | |
Medica
| Facility | $100.00 | $123.95 | $241.71 |
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 | $15.24 | $112.68 | $241.71 | |
BCBS
| Facility | $8.59 | $8.59 | $9.44 | |
BCBS
| Professional | $9.00 | $9.00 | $10.74 | |
Medica
| Facility | $100.00 | $123.95 | $241.71 |