| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,131.84 | $1,131.84 | $8,500.00 | |
Medica
| Facility | $1,131.84 | $1,582.79 | $3,395.55 | |
United
| Facility | $4,640.00 | $4,640.00 | $4,640.00 |
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 | $1,131.84 | $1,131.84 | $8,500.00 | |
Medica
| Facility | $1,131.84 | $1,582.79 | $3,395.55 | |
United
| Facility | $4,640.00 | $4,640.00 | $4,640.00 |