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Washington rates for HCPCS 49020

Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open

Facilitymedian $3,090 · 10th–90th $1,698–$10,2330%10%10th90th$3,090$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,073.80 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $870.96 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,630.27 / $3,981.07
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,019.95 / $3,235.94
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,122.02 / $3,715.35