| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $1,405.11 | $1,449.14 | $2,178.16 | |
Medcost
| Facility | 80 | $281.02 | $289.83 | $435.63 |
Medcost
| Facility | AS | $196.72 | $202.88 | $304.94 |
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 |
|---|---|---|---|---|---|
Medcost
| Facility | $1,405.11 | $1,449.14 | $2,178.16 | |
Medcost
| Facility | 80 | $281.02 | $289.83 | $435.63 |
Medcost
| Facility | AS | $196.72 | $202.88 | $304.94 |