| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $587.35 | $587.35 | $587.35 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Corneal Incisions In The Donor Cornea Created Using A Laser,In Preparation For Lamellar Keratoplasty (List Separately In
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $587.35 | $587.35 | $587.35 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |