| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,671.00 | $4,589.00 | $6,006.00 | |
Hometown Health
| Professional | $18.64 | $1,639.47 | $2,354.88 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,671.00 | $4,589.00 | $6,006.00 | |
Hometown Health
| Professional | $18.64 | $1,639.47 | $2,354.88 |