| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,248.00 | $4,838.00 | $11,446.00 | |
CDPHP
| Facility | $2,455.14 | $2,455.14 | $37,499.62 |
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 |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,248.00 | $4,838.00 | $11,446.00 | |
CDPHP
| Facility | $2,455.14 | $2,455.14 | $37,499.62 |