| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,233.32 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,357.26 | $1,626.45 | $8,880.66 | |
Providence
| Facility | $1,626.45 | $1,626.45 | $8,880.66 |
Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,233.32 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,357.26 | $1,626.45 | $8,880.66 | |
Providence
| Facility | $1,626.45 | $1,626.45 | $8,880.66 |