| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,818.38 | $3,162.28 | $7,244.36 | |
Medica
| Facility | AS | $724.44 | $724.44 | $724.44 |
Midlands
| Professional | $2,818.38 | $2,951.21 | $3,890.45 |
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 | $2,818.38 | $3,162.28 | $7,244.36 | |
Medica
| Facility | AS | $724.44 | $724.44 | $724.44 |
Midlands
| Professional | $2,818.38 | $2,951.21 | $3,890.45 |