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Sealing A Fluid Pocket With An Injected Solution

Maryland 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?

$947

Typical total for the visit. In Maryland, July 2026.

Insurers have agreed to pay about $947 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $372 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$575$129 to $1,288
Facility feeThe hospital or surgery center$372$269 to $708

How much rates vary

Facilitymedian $372 · 10th to 90th $219 to $1,175Professionalmedian $575 · 10th to 90th $115 to $1,660
$100$200$500$1K$2K$5Kfacility $372professional $575

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
$707.95
Median
$707.95
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$691.83
Typical High
$1,584.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$602.56
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$371.54
Typical High
$1,949.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,412.54
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$831.76
Typical High
$1,995.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$1,479.11
Typical High
$1,905.46

Where Maryland sits

The same service costs 6.7 times more in New Jersey than in Maryland. 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.

Physician feeFacility fee

Maryland· 50th of 50

$947

$575 physician + $372 facility

NJ $6,366MD $947

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.