| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,023.29 | $1,318.26 | $3,801.89 | |
MVP Health Care
| Professional | $1,905.46 | $1,905.46 | $4,073.80 | |
United
| Professional | $1,174.90 | $1,548.82 | $4,677.35 |
Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,023.29 | $1,318.26 | $3,801.89 | |
MVP Health Care
| Professional | $1,905.46 | $1,905.46 | $4,073.80 | |
United
| Professional | $1,174.90 | $1,548.82 | $4,677.35 |