| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,195.96 | $1,195.96 | $8,500.00 | |
Medica
| Facility | $1,195.96 | $1,646.62 | $2,549.37 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |
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 | $1,195.96 | $1,195.96 | $8,500.00 | |
Medica
| Facility | $1,195.96 | $1,646.62 | $2,549.37 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |