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Open Drainage of an Abscess Under the Diaphragm

New York rates for HCPCS 49040

Drains a pocket of pus that has collected just beneath the diaphragm, the breathing muscle separating the chest from the abdomen, through a surgical incision. The cavity is washed out and a drain is usually left in place. Such collections often follow abdominal surgery, a burst organ, or infection spreading within the abdomen.

Facilitymedian $4,786 · 10th–90th $1,380$11,4820%10%10th90th$4,786$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$3,162.28
Typical High
$10,964.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,623.41
Typical High
$12,882.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,698.24
Typical High
$50,118.72
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,258.93
Typical High
$3,715.35
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,981.07
Typical High
$8,912.51
Univera
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,174.90
Typical High
$3,388.44