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Wisconsin rates for HCPCS 49040

Drainage of subdiaphragmatic or subphrenic abscess, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,995.26 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,128.31 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,884.03 / $4,677.35
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,258.93 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $5,754.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,238.72 / $3,467.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $9,120.11 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45