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Open Drainage of an Abscess Under the Diaphragm

Wisconsin rates for HCPCS 49040

Drains a pocket of pus that has collected just beneath the diaphragm, the breathing muscle separating the chest from the abdomen, through a surgical incision. The cavity is washed out and a drain is usually left in place. Such collections often follow abdominal surgery, a burst organ, or infection spreading within the abdomen.

Facilitymedian $7,586 · 10th–90th $1,349$13,4900%10%10th90th$7,586Professionalmedian $2,239 · 10th–90th $1,259$3,5480%10%10th90th$2,239$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,995.26
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,128.31
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,884.03
Typical High
$4,677.35
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,348.96
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,380.38
Typical High
$6,309.57
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,949.84
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,238.72
Typical High
$3,467.37
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$9,120.11
Typical High
$9,120.11
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$6,760.83
Typical High
$19,498.45