| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $1,134.91 | $1,287.56 | $1,360.98 | |
United
| Professional | $911.63 | $1,071.64 | $2,573.98 |
Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $1,134.91 | $1,287.56 | $1,360.98 | |
United
| Professional | $911.63 | $1,071.64 | $2,573.98 |