| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,949.84 | $2,137.96 | $4,897.79 | |
Medica
| Facility | AS | $489.78 | $489.78 | $489.78 |
Midlands
| Professional | $1,949.84 | $1,995.26 | $2,691.53 |
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 | $1,949.84 | $2,137.96 | $4,897.79 | |
Medica
| Facility | AS | $489.78 | $489.78 | $489.78 |
Midlands
| Professional | $1,949.84 | $1,995.26 | $2,691.53 |