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Virginia rates for HCPCS 49040

Drainage of subdiaphragmatic or subphrenic abscess, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.53 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,385.00 / $10,311.04 / $14,433.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $1,141.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.43 / $1,150.58 / $1,643.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.67 / $1,277.79 / $1,870.24
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.31 / $1,216.53 / $2,221.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.00 / $2,397.00 / $5,202.00