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Georgia rates for HCPCS 49204

Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $3,467.37 / $7,244.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $7,762.47 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $6,309.57 / $14,454.40