| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $850.02 | $850.02 | $8,500.00 | |
Medica
| Facility | $850.02 | $1,020.54 | $2,471.00 | |
United
| Facility | $2,545.00 | $5,740.00 | $8,667.00 |
Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $850.02 | $850.02 | $8,500.00 | |
Medica
| Facility | $850.02 | $1,020.54 | $2,471.00 | |
United
| Facility | $2,545.00 | $5,740.00 | $8,667.00 |