| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,321.34 | $1,321.34 | $1,321.34 | |
Providence
| Facility | $862.08 | $1,120.00 | $3,384.95 | |
United
| Facility | $2,090.00 | $2,090.00 | $2,090.00 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $1,321.34 | $1,321.34 | $1,321.34 | |
Providence
| Facility | $862.08 | $1,120.00 | $3,384.95 | |
United
| Facility | $2,090.00 | $2,090.00 | $2,090.00 |