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Deep Wound Cleaning With an Open Fracture, Including Bone

South Carolina rates for HCPCS 11012

This procedure cleans out damaged tissue and debris from a wound associated with an open fracture or dislocation, removing unhealthy tissue through the skin, underlying fat, muscle covering, muscle, and down to the bone itself. It represents the deepest and most extensive level of this wound-cleaning procedure, preparing the area for proper healing.

Rates data updated July 2026.

Facilitymedian $1,862 · 10th–90th $490$9,7720%10%10th90th$1,862Professionalmedian $589 · 10th–90th $372$1,0960%10%10th90th$589$50.0$200.0$1.0K$5.0K$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
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$5,888.44
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$1,096.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,230.27
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$645.65
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$1,023.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Medcost
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$3,890.45
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$575.44
Typical High
$933.25