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Kentucky 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
$478.08 / $648.00 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.63 / $1,725.70 / $11,253.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.57 / $652.13 / $761.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.98 / $645.98 / $645.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,513.00 / $27,879.00