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Washington rates for HCPCS 49040

Drainage of subdiaphragmatic or subphrenic abscess, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,818.38 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $707.95 / $954.99
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,819.70 / $2,511.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,949.84 / $1,995.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,258.93 / $5,754.40