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Kentucky 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
$2,290.87 / $3,801.89 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,737.80 / $2,818.38