| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $877.00 | $877.00 | $877.00 | |
Wellcare
| Facility | $1,839.88 | $5,640.95 | $26,542.00 | |
Wellcare
| Professional | $6,228.00 | $6,228.00 | $6,228.00 |
Repair Scleral Staphyloma W/O Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $877.00 | $877.00 | $877.00 | |
Wellcare
| Facility | $1,839.88 | $5,640.95 | $26,542.00 | |
Wellcare
| Professional | $6,228.00 | $6,228.00 | $6,228.00 |