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Minnesota 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
$524.81 / $524.81 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,862.09 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,949.84 / $4,677.35
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,862.09 / $3,630.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $912.01 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38