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Nebraska 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
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,281.85 / $5,631.80 / $10,893.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.10 / $1,211.30 / $7,856.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $1,230.71 / $1,702.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,126.00 / $4,317.00 / $7,856.00