| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $194.25 | $194.25 | $194.25 | |
Pacific Source
| Facility | $3,508.33 | $4,901.35 | $5,903.48 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $194.25 | $194.25 | $194.25 | |
Pacific Source
| Facility | $3,508.33 | $4,901.35 | $5,903.48 |