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New York 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
$700.49 / $4,910.00 / $10,296.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,349.00 / $4,975.00 / $11,448.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.98 / $802.98 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.98 / $645.98 / $645.98
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $594.86 / $1,477.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.96 / $1,072.96 / $1,072.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $645.98 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.00 / $4,114.00 / $8,133.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.22 / $600.22 / $2,065.67