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Oklahoma 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
$54.95 / $4,168.69 / $6,309.57
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$630.96 / $630.96 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $8,709.64