| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Facility | $1,048.00 | $1,048.00 | $1,048.00 | |
UPMC Health Plan
| Facility | $1,168.83 | $1,168.83 | $1,168.83 |
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 |
|---|---|---|---|---|---|
Oscar Health
| Facility | $1,048.00 | $1,048.00 | $1,048.00 | |
UPMC Health Plan
| Facility | $1,168.83 | $1,168.83 | $1,168.83 |