| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $827.94 | $6,625.00 | $11,298.00 | |
Horizon BCBS
| Facility | $7,892.77 | $8,963.46 | $19,863.39 | |
United
| Facility | $3,885.00 | $7,250.00 | $10,536.00 |
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $827.94 | $6,625.00 | $11,298.00 | |
Horizon BCBS
| Facility | $7,892.77 | $8,963.46 | $19,863.39 | |
United
| Facility | $3,885.00 | $7,250.00 | $10,536.00 |