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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
$700.00 / $3,437.19 / $6,754.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,178.94 / $2,178.94 / $2,178.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,436.17 / $7,140.00 / $7,140.00