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Wisconsin rates for HCPCS 49040

Drainage Subdiaphragmatic/Subphren Abscess Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.77 / $1,988.84 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,297.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.29 / $2,904.26 / $4,455.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.64 / $1,224.59 / $2,111.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.64 / $1,356.60 / $4,821.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.81 / $1,212.41 / $2,077.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.20 / $2,430.21 / $4,006.42
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.67 / $9,273.20 / $9,273.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00