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Texas 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
$714.00 / $3,596.00 / $12,040.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.66 / $986.44 / $4,727.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.09 / $496.09 / $514.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $5,080.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.78 / $648.54 / $893.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.78 / $646.79 / $957.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,546.00 / $9,000.00