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Arizona 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
$1,671.00 / $3,617.00 / $7,562.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,283.06 / $3,616.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.92 / $647.97 / $4,199.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.00 / $2,312.00 / $5,491.00