| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,429.23 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $1,023.34 | $1,231.52 | $6,672.15 | |
Providence
| Facility | $1,231.52 | $1,231.52 | $6,672.15 |
Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,429.23 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $1,023.34 | $1,231.52 | $6,672.15 | |
Providence
| Facility | $1,231.52 | $1,231.52 | $6,672.15 |