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Alaska rates for HCPCS 11004

Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,675.87 / $10,900.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,827.58 / $3,958.61 / $4,043.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,827.58 / $3,958.61 / $4,043.44