| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $543.23 | $543.23 | $8,500.00 | |
Medica
| Facility | $543.23 | $774.59 | $1,629.69 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |
Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $543.23 | $543.23 | $8,500.00 | |
Medica
| Facility | $543.23 | $774.59 | $1,629.69 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |