| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $54.95 | $3,019.95 | $4,897.79 | |
Medica
| Facility | AS | $302.00 | $302.00 | $489.78 |
United
| Facility | $954.99 | $2,454.71 | $3,311.31 |
Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $54.95 | $3,019.95 | $4,897.79 | |
Medica
| Facility | AS | $302.00 | $302.00 | $489.78 |
United
| Facility | $954.99 | $2,454.71 | $3,311.31 |