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Pennsylvania 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
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.60 / $1,334.60 / $1,334.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.38 / $1,488.38 / $1,488.38