| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $858.00 | $858.00 | $858.00 | |
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 |
|---|---|---|---|---|---|
Ambetter
| Facility | $858.00 | $858.00 | $858.00 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |