| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,032.90 | $1,032.90 | $8,500.00 | |
Medica
| Facility | $1,032.90 | $1,455.72 | $3,098.70 | |
United
| Facility | $4,640.00 | $4,640.00 | $4,640.00 |
Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,032.90 | $1,032.90 | $8,500.00 | |
Medica
| Facility | $1,032.90 | $1,455.72 | $3,098.70 | |
United
| Facility | $4,640.00 | $4,640.00 | $4,640.00 |