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Missouri 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
$684.81 / $4,261.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.47 / $1,785.00 / $4,773.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $831.68 / $7,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.00 / $2,849.00 / $11,043.00