| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $2,187.76 | $2,187.76 | $2,290.87 | |
United
| Facility | $9,549.93 | $9,549.93 | $9,549.93 |
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 |
|---|---|---|---|---|---|
Medcost
| Professional | $2,187.76 | $2,187.76 | $2,290.87 | |
United
| Facility | $9,549.93 | $9,549.93 | $9,549.93 |