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Massachusetts rates for HCPCS 49040

Drainage Subdiaphragmatic/Subphren Abscess Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.62 / $2,747.00 / $4,806.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,332.44 / $9,094.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,582.11 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,446.00 / $9,094.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,446.00 / $4,050.00