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Minnesota 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.26 / $5,016.63 / $12,068.18
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,785.44 / $4,578.00 / $9,502.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,567.37 / $2,567.37 / $2,567.37