| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $1,258.93 | $8,511.38 | |
Medica
| Facility | $1,202.26 | $1,698.24 | $2,570.40 | |
United
| Facility | $2,570.40 | $3,311.31 | $5,128.61 |
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 | $1,202.26 | $1,258.93 | $8,511.38 | |
Medica
| Facility | $1,202.26 | $1,698.24 | $2,570.40 | |
United
| Facility | $2,570.40 | $3,311.31 | $5,128.61 |