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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.97 / $1,635.23 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $769.59 / $5,205.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $1,110.00 / $1,110.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.49 / $951.05 / $1,413.16
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.79 / $1,079.90 / $1,137.64
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.59 / $760.59 / $769.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.00 / $1,323.00 / $5,793.00