| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,068.09 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $869.43 | $1,006.71 | $1,919.21 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |
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 | $1,068.09 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $869.43 | $1,006.71 | $1,919.21 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |