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Michigan rates for HCPCS 49040

Drainage of subdiaphragmatic or subphrenic abscess, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $4,897.79 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,513.56 / $1,513.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,818.38 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $3,548.13 / $6,025.60