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Michigan rates for HCPCS 49040

Drainage Subdiaphragmatic/Subphren Abscess Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.90 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,665.45 / $5,419.38 / $7,481.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.31 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,645.00 / $6,036.00