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Idaho rates for HCPCS 49040

Drainage of subdiaphragmatic or subphrenic abscess, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,801.89 / $4,570.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,479.11 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68