| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $169.82 | $169.82 | $177.83 | |
Pacific Source
| Facility | $2,187.76 | $2,951.21 | $3,090.30 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $169.82 | $169.82 | $177.83 | |
Pacific Source
| Facility | $2,187.76 | $2,951.21 | $3,090.30 |