| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $12,302.69 | $12,302.69 | $12,589.25 |
Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $12,302.69 | $12,302.69 | $12,589.25 |