| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $4,436.09 | $7,191.61 | $7,191.61 | |
Medica
| Facility | AS | $443.61 | $719.16 | $719.16 |
Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diameter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $4,436.09 | $7,191.61 | $7,191.61 | |
Medica
| Facility | AS | $443.61 | $719.16 | $719.16 |