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Washington rates for HCPCS 49040

Drainage Subdiaphragmatic/Subphren Abscess Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,363.38 / $2,561.41 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,376.03 / $9,273.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $870.49 / $947.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.09 / $1,926.79 / $2,523.51
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.02 / $1,931.94 / $2,017.37
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.81 / $1,360.81 / $1,376.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $5,793.00