| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,777.02 | $1,777.02 | $1,777.02 | |
Medica
| Professional | $5,504.72 | $5,504.72 | $5,504.72 |
Insj Iris Prosth Secondary Io Lens Plmt/Exchange
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,777.02 | $1,777.02 | $1,777.02 | |
Medica
| Professional | $5,504.72 | $5,504.72 | $5,504.72 |