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Exchange Of A Drain Tube In An Abscess Or Cyst

Wisconsin 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.

Facilitymedian $3,467 · 10th–90th $112$6,0260%5%10th90th$3,467Professionalmedian $537 · 10th–90th $71$1,8200%5%10th90th$537$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$3,388.44
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$524.81
Typical High
$1,000.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$7,079.46
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$575.44
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,778.28
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$416.87
Typical High
$2,454.71
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$436.52
Typical High
$2,754.23
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$288.40
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$537.03
Typical High
$4,365.16
Medica
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,288.25
Typical High
$4,265.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$97.72
Network Health
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$3,890.45
Typical High
$4,570.88
Network Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$831.76
Typical High
$1,778.28
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$257.04
Typical High
$851.14
Quartz
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$512.86
Typical High
$1,819.70
Quartz
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$5,011.87
Typical High
$5,011.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$1,174.90
Typical High
$3,981.07
Security Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$2,290.87
Security Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$501.19
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$371.54
Typical High
$1,513.56