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Washington rates for HCPCS 11004

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

Facilitymedian $1,259 · 10th–90th $776–$18,6210%10%10th90th$1,259$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,737.80 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,122.02
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,096.48 / $1,412.54
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,071.52 / $1,122.02
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,318.26 / $5,754.40