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Oklahoma 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
$1,000.00 / $3,909.00 / $18,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,026.82 / $3,147.86 / $4,945.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.84 / $807.63 / $5,833.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $2,545.00 / $6,155.68