| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.06 | $7,838.38 | $8,763.29 | |
Providence
| Facility | $870.40 | $870.40 | $870.40 | |
United
| Facility | $1,229.00 | $6,210.00 | $7,158.00 |
Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.06 | $7,838.38 | $8,763.29 | |
Providence
| Facility | $870.40 | $870.40 | $870.40 | |
United
| Facility | $1,229.00 | $6,210.00 | $7,158.00 |