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New Mexico 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
$545.52 / $2,095.00 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.19 / $750.31 / $837.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $5,060.00 / $17,636.00