| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $891.25 | $2,238.72 | $4,073.80 | |
Medical Mutual of Ohio
| Professional | $1,174.90 | $1,174.90 | $1,174.90 | |
Molina
| Professional | $39.81 | $50.12 | $60.26 |
Repair Scleral Staphyloma W/O Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $891.25 | $2,238.72 | $4,073.80 | |
Medical Mutual of Ohio
| Professional | $1,174.90 | $1,174.90 | $1,174.90 | |
Molina
| Professional | $39.81 | $50.12 | $60.26 |