| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,067.12 | $26,542.00 | $26,542.00 | |
Medica
| 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 |
|---|---|---|---|---|---|
Medica
| Facility | $2,067.12 | $26,542.00 | $26,542.00 | |
Medica
| Professional | $6,228.00 | $6,228.00 | $6,228.00 |