| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $741.31 | $8,511.38 | |
Medica
| Facility | $707.95 | $1,000.00 | $2,137.96 | |
United
| Facility | $2,570.40 | $3,311.31 | $5,128.61 |
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 | $707.95 | $741.31 | $8,511.38 | |
Medica
| Facility | $707.95 | $1,000.00 | $2,137.96 | |
United
| Facility | $2,570.40 | $3,311.31 | $5,128.61 |