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Pennsylvania rates for HCPCS 49040

Drainage of subdiaphragmatic or subphrenic abscess, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $6,165.95 / $8,709.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $21,379.62 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $794.33 / $1,698.24
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,786.30 / $8,511.38
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $870.96 / $2,041.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $2,089.30 / $6,309.57