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Virginia rates for HCPCS 11004

Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum

Facilitymedian $1,445 · 10th–90th $562–$7,0790%5%10th90th$1,445Professionalmedian $575 · 10th–90th $479–$7760%20%10th90th$575$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $3,630.78 / $9,549.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,380.38 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $575.44 / $676.08
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $954.99
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $645.65 / $1,047.13
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $758.58 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,311.31 / $6,309.57