go back

West Virginia 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
$558.34 / $558.34 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.04 / $682.85 / $743.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.98 / $645.98 / $645.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $765.00 / $765.00