| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $935.11 | $935.11 | $935.11 | |
Medica
| Professional | $2,110.46 | $2,110.46 | $2,110.46 |
Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the trabecular meshwork; initial insertion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $935.11 | $935.11 | $935.11 | |
Medica
| Professional | $2,110.46 | $2,110.46 | $2,110.46 |