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Texas 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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $6,265.25
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$346.51 / $626.53 / $626.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,892.34 / $3,892.34 / $3,892.34
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$492.86 / $492.86 / $492.86