| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,060.19 | $6,625.00 | $11,298.00 | |
Horizon BCBS
| Facility | $37,354.98 | $71,239.72 | $75,865.89 | |
United
| Facility | $5,667.00 | $9,969.00 | $19,696.00 |
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 | $1,060.19 | $6,625.00 | $11,298.00 | |
Horizon BCBS
| Facility | $37,354.98 | $71,239.72 | $75,865.89 | |
United
| Facility | $5,667.00 | $9,969.00 | $19,696.00 |