| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $377.04 | $377.04 | $377.04 | |
United
| Facility | $5,188.00 | $5,188.00 | $18,767.00 | |
United
| Professional | $372.98 | $624.51 | $1,057.30 |
Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $377.04 | $377.04 | $377.04 | |
United
| Facility | $5,188.00 | $5,188.00 | $18,767.00 | |
United
| Professional | $372.98 | $624.51 | $1,057.30 |