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California 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
$524.35 / $9,029.00 / $19,011.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.33 / $3,491.00 / $7,484.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $100.00 / $5,321.49
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.17 / $595.63 / $714.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.17 / $691.12 / $1,253.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,174.47 / $5,205.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.78 / $668.23 / $883.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,991.00 / $6,108.00 / $17,075.00