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Exchange Of A Drain Tube In An Abscess Or Cyst

Maine rates for HCPCS 49423

An existing drainage tube sitting in an abscess or a cyst is swapped for a new one over a guidewire, with X-ray imaging used to hold the track and confirm the replacement sits correctly. It is done when the tube blocks, cracks or starts to slip out, or when a long-standing drain is due for routine replacement. A working tube is left in place at the end, so this is a swap rather than a removal, and the collection can be anywhere in the body.

Rates data updated July 2026.

How much does Exchange Of A Drain Tube In An Abscess Or Cyst cost?

$479

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $479 for this service. Most negotiated rates run $87.10 to $724.

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.

How much rates vary

Facilitymedian $692 · 10th to 90th $692 to $3,890Professionalmedian $479 · 10th to 90th $74 to $1,202
$100$200$500$1K$2Kfacility $692professional $479

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$512.86
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$213.80
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$245.47
Typical High
$1,258.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$549.54
Typical High
$1,412.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$512.86
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$549.54
Typical High
$1,174.90

Where Maine sits

The same service costs 4.4 times more in New York than in Michigan. 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.

Maine· 36th of 51

$479

NY $646MI $148

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.