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Indiana rates for HCPCS 49040

Drainage of subdiaphragmatic or subphrenic abscess, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,344.23 / $4,897.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $14,125.38 / $19,054.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $977.24 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,348.96 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $5,623.41 / $12,022.64