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Wisconsin 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

Facilitymedian $8,128 · 10th–90th $5,012–$14,1250%10%10th90th$8,128$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,128.31 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,466.84 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $6,309.57
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $9,332.54
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$389.05 / $389.05 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $14,125.38 / $16,218.10