| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,081.54 | $3,575.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $880.02 | $1,018.97 | $1,943.38 | |
United
| Facility | $1,832.00 | $6,073.00 | $26,408.00 |
Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,081.54 | $3,575.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $880.02 | $1,018.97 | $1,943.38 | |
United
| Facility | $1,832.00 | $6,073.00 | $26,408.00 |