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Exchange Of A Drain Tube In An Abscess Or Cyst

Vermont 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?

$537

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $537 for this service. Most negotiated rates run $81.28 to $631.

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

Professionalmedian $537 · 10th to 90th $78 to $646
$100$200$500$1Kprofessional $537

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
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$190.55
Typical High
$1,047.13
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$588.84
Typical High
$1,258.93

Where Vermont 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.

Vermont· 20th of 51

$537

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.