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Exchange Of A Drain Tube In An Abscess Or Cyst

West Virginia 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?

$1,564

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $1,564 for this procedure. That total is two separate charges: $151 to the doctor who performs it, and $1,413 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$151$75.86 to $562
Facility feeThe hospital or surgery center$1,413$110 to $1,862

How much rates vary

Facilitymedian $1,413 · 10th to 90th $69 to $1,862Professionalmedian $151 · 10th to 90th $68 to $724
$100$200$500$1K$2Kfacility $1,413professional $151

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
$69.18
Median
$1,862.09
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$151.36
Typical High
$691.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$89.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$537.03
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,230.27
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$199.53
Typical High
$933.25

Where West Virginia sits

The same service costs 6.6 times more in Indiana 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

West Virginia· 34th of 50

$1,564

$151 physician + $1,413 facility

IN $6,365MD $968

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.