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