| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,461.88 | $10,175.36 | $13,413.92 | |
Moda Health
| Facility | $585.41 | $1,051.31 | $6,761.80 | |
Providence
| Facility | $709.92 | $1,335.91 | $6,761.80 |
Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,461.88 | $10,175.36 | $13,413.92 | |
Moda Health
| Facility | $585.41 | $1,051.31 | $6,761.80 | |
Providence
| Facility | $709.92 | $1,335.91 | $6,761.80 |