| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $919.00 | $3,175.00 | $14,996.00 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $38,499.62 |
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 | $919.00 | $3,175.00 | $14,996.00 | |
CareSource
| Facility | $38,499.62 | $38,499.62 | $38,499.62 |