| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $200.00 | $200.00 | $322.00 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |
Medical/Surgical Supplies and Devices - Intraocular Lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $200.00 | $200.00 | $322.00 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |