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Nebraska 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,265.25 / $6,265.25 / $6,265.25
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$626.53 / $626.53 / $626.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,298.89 / $2,733.85 / $3,466.40