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Emergency Debridement of Genital Area Infection

New York rates for HCPCS 11004

Cuts away skin, fat, muscle and the tough sheets of tissue between them in the genital and perineal area when a rapidly spreading infection is destroying them. Everything dead or infected is removed back to healthy, bleeding tissue, which is the only way to stop the infection advancing. Repeat operations over the following days are usual.

Rates data updated July 2026.

Facilitymedian $4,786 · 10th–90th $741$11,4820%10%10th90th$4,786$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$3,019.95
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$5,495.41
Typical High
$12,882.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$891.25
Typical High
$891.25
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$616.60
Typical High
$1,949.84
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,073.80
Typical High
$9,120.11
Univera
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$1,778.28