| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.24 | $112.68 | $158.00 | |
Anthem BCBS
| Professional | $999.00 | $999.00 | $999.00 | |
Kaiser Permanente
| Professional | $44.00 | $48.00 | $90.00 |
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 | $158.00 | |
Anthem BCBS
| Professional | $999.00 | $999.00 | $999.00 | |
Kaiser Permanente
| Professional | $44.00 | $48.00 | $90.00 |