| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,311.31 | $5,888.44 | $12,302.69 | |
CDPHP
| Facility | $1,698.24 | $1,698.24 | $37,153.52 |
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 |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,311.31 | $5,888.44 | $12,302.69 | |
CDPHP
| Facility | $1,698.24 | $1,698.24 | $37,153.52 |