| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,386.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $1,442.18 | $1,754.76 | $9,299.99 | |
Providence
| Facility | $1,754.76 | $1,754.76 | $9,299.99 |
Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,386.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $1,442.18 | $1,754.76 | $9,299.99 | |
Providence
| Facility | $1,754.76 | $1,754.76 | $9,299.99 |