| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $5,188.00 | $5,188.00 | $18,767.00 |
Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $5,188.00 | $5,188.00 | $18,767.00 |