| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $874.90 | $874.90 | $874.90 | |
Midlands
| Facility | $490.10 | $490.10 | $490.10 | |
Midlands
| Professional | $543.54 | $771.73 | $771.73 |
Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the trabecular meshwork; each additional device insertion (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $874.90 | $874.90 | $874.90 | |
Midlands
| Facility | $490.10 | $490.10 | $490.10 | |
Midlands
| Professional | $543.54 | $771.73 | $771.73 |