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North Carolina rates for HCPCS 11004

Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum

Facilitymedian $912 · 10th–90th $562$7,5860%10%10th90th$912Professionalmedian $955 · 10th–90th $955$9770%50%100%90th$955$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $912.01 / $8,709.64
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $977.24
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $645.65 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $3,890.45 / $7,079.46
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,467.37 / $3,467.37