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Delaware rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.71 / $1,054.39 / $1,054.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.05 / $1,333.47 / $1,882.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.36 / $1,294.72 / $2,414.30