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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

Facilitymedian $6,310 · 10th–90th $631–$7,5860%20%10th90th$6,310Professionalmedian $2,754 · 10th–90th $2,754–$2,7540%50%100%$2,754$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $6,309.57
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $2,754.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $7,079.46 / $7,585.78