| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $190.00 | $982.24 | $1,127.00 |
Fstlj Sclera Glaucoma Iridencleisis/Iridotasis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $190.00 | $982.24 | $1,127.00 |