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Illinois rates for HCPCS 49040

Drainage Subdiaphragmatic/Subphren Abscess Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.76 / $1,910.30 / $5,430.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,394.27 / $11,758.64 / $23,546.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $1,141.67
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.09 / $1,665.91 / $3,590.69
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.00 / $2,873.00 / $6,625.00