| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,986.00 | $6,456.00 | |
Kaiser Permanente
| Professional | $820.87 | $950.48 | $1,813.11 | |
United
| Facility | $1,832.00 | $6,073.00 | $26,408.00 |
Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,986.00 | $6,456.00 | |
Kaiser Permanente
| Professional | $820.87 | $950.48 | $1,813.11 | |
United
| Facility | $1,832.00 | $6,073.00 | $26,408.00 |