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Georgia rates for HCPCS 11042

Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less

Facilitymedian $2,344 · 10th–90th $138–$6,4570%10%10th90th$2,344Professionalmedian $107 · 10th–90th $51–$2340%10%10th90th$107$10.0$50.0$200.0$1.0K$5.0K

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
$117.49 / $2,398.83 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $104.71 / $234.42
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $85.11 / $204.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $2,238.72 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $83.18 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$72.44 / $125.89 / $269.15
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $85.11 / $223.87
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $125.89 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $95.50 / $239.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $147.91 / $190.55
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,380.38 / $2,344.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $1,348.96 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $109.65 / $229.09