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New Hampshire 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
$100.00 / $2,104.31 / $2,331.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.42 / $1,477.47 / $2,220.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00