| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $2,051.23 | $2,119.89 | $3,197.57 | |
Medcost
| Facility | 80 | $410.25 | $423.98 | $639.51 |
Medcost
| Facility | AS | $287.17 | $296.77 | $447.66 |
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 |
|---|---|---|---|---|---|
Medcost
| Facility | $2,051.23 | $2,119.89 | $3,197.57 | |
Medcost
| Facility | 80 | $410.25 | $423.98 | $639.51 |
Medcost
| Facility | AS | $287.17 | $296.77 | $447.66 |