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Kansas 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
$1,930.00 / $7,365.00 / $13,151.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $748.47 / $4,502.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.45 / $1,934.00 / $5,562.00