| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $10,000.00 | $16,982.44 | |
Moda Health
| Facility | $758.58 | $831.76 | $3,890.45 | |
Providence
| Facility | $758.58 | $851.14 | $5,495.41 |
Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $10,000.00 | $16,982.44 | |
Moda Health
| Facility | $758.58 | $831.76 | $3,890.45 | |
Providence
| Facility | $758.58 | $851.14 | $5,495.41 |