| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $371.54 | $758.58 | $812.83 | |
United
| Facility | $4,466.84 | $5,128.61 | $18,197.01 | |
United
| Professional | $977.24 | $1,584.89 | $2,630.27 |
Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $371.54 | $758.58 | $812.83 | |
United
| Facility | $4,466.84 | $5,128.61 | $18,197.01 | |
United
| Professional | $977.24 | $1,584.89 | $2,630.27 |