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Missouri rates for HCPCS 49040

Drainage of subdiaphragmatic or subphrenic abscess, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,265.80 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,786.30 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,348.96 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,818.38 / $10,471.29