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Indiana 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
$463.75 / $1,339.15 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.08 / $1,512.87 / $5,221.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.43 / $653.16 / $703.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,660.00 / $11,929.00