| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $622.50 | $1,040.27 | $5,707.35 | |
Medica
| Professional | $4,246.00 | $4,246.00 | $4,246.00 |
Fstlj Sclera Glaucoma Iridencleisis/Iridotasis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $622.50 | $1,040.27 | $5,707.35 | |
Medica
| Professional | $4,246.00 | $4,246.00 | $4,246.00 |