| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $235.15 | $235.15 | $724.98 |
Medical/Surgical Supplies and Devices - Intraocular Lens
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $235.15 | $235.15 | $724.98 |