| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $684.11 | $5,153.00 | $9,860.00 | |
Horizon BCBS
| Facility | $5,017.54 | $5,544.92 | $11,261.39 | |
United
| Facility | $2,595.00 | $5,803.00 | $10,105.00 |
Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $684.11 | $5,153.00 | $9,860.00 | |
Horizon BCBS
| Facility | $5,017.54 | $5,544.92 | $11,261.39 | |
United
| Facility | $2,595.00 | $5,803.00 | $10,105.00 |