| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $512.39 | $788.70 | $788.70 | |
Medica
| Professional | $874.90 | $874.90 | $874.90 | |
United
| Professional | $104.27 | $220.55 | $292.60 |
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
| Facility | $512.39 | $788.70 | $788.70 | |
Medica
| Professional | $874.90 | $874.90 | $874.90 | |
United
| Professional | $104.27 | $220.55 | $292.60 |