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Sealing A Fluid Pocket With An Injected Solution

Hawaii rates for HCPCS 49185

A needle or fine tube is passed through the skin into a pocket of fluid such as a cyst, a collection of lymph fluid, or a seroma left after surgery, with imaging used to guide it and contrast injected first to show the size and shape of the pocket. A solution is then injected that irritates the lining so the pocket scars down and stops refilling. It can be done wherever such a collection forms, not only in the abdomen or pelvis.

Rates data updated July 2026.

How much does Sealing A Fluid Pocket With An Injected Solution cost?

$871

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $871 for this service. Most negotiated rates run $123 to $1,259.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,514 to $3,890Professionalmedian $871 · 10th to 90th $115 to $1,479
$100$200$500$1K$2K$5Kfacility $3,890professional $871

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$870.96
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$1,047.13
Typical High
$2,630.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$1,348.96
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$977.24
Typical High
$1,659.59
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$1,737.80
Typical High
$6,606.93

Where Hawaii sits

The same service costs 3.6 times more in California than in New Hampshire. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 40th of 51

$871

CA $1,318NH $363

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.