| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $789.98 | $789.98 | $8,500.00 | |
Medica
| Facility | $789.98 | $1,123.34 | $2,369.94 | |
United
| Facility | $1,146.00 | $1,978.00 | $2,545.00 |
Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $789.98 | $789.98 | $8,500.00 | |
Medica
| Facility | $789.98 | $1,123.34 | $2,369.94 | |
United
| Facility | $1,146.00 | $1,978.00 | $2,545.00 |