| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $852.69 | $852.69 | $8,500.00 | |
Medica
| Facility | $852.69 | $1,276.85 | $2,558.07 | |
United
| Facility | $4,640.00 | $4,640.00 | $4,640.00 |
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 | $852.69 | $852.69 | $8,500.00 | |
Medica
| Facility | $852.69 | $1,276.85 | $2,558.07 | |
United
| Facility | $4,640.00 | $4,640.00 | $4,640.00 |