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Tennessee rates for HCPCS 49203

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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $7,413.10
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$741.31 / $741.31 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,019.95 / $3,630.78