| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $1,203.54 | $1,203.54 | $1,203.54 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Repair Scleral Staphyloma W/O Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $1,203.54 | $1,203.54 | $1,203.54 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |