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Texas rates for HCPCS 49040

Drainage of subdiaphragmatic or subphrenic abscess, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,715.35 / $12,882.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,778.28 / $6,309.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,698.24 / $2,511.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $9,120.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,230.27 / $2,398.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,230.27 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $2,290.87 / $10,000.00