| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,217.00 | $5,196.00 | $11,909.00 | |
MVP Health Care
| Professional | $1,601.64 | $1,601.64 | $1,601.64 |
Repair Scleral Staphyloma W/O Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,217.00 | $5,196.00 | $11,909.00 | |
MVP Health Care
| Professional | $1,601.64 | $1,601.64 | $1,601.64 |