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Illinois rates for HCPCS 11042

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

Facilitymedian $759 · 10th–90th $115$5,1290%10%10th90th$759Professionalmedian $105 · 10th–90th $51$3020%10%10th90th$105$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
$114.82 / $758.58 / $5,128.61
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $102.33 / $316.23
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $83.18 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $588.84 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $131.83 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $114.82 / $218.78
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $169.82 / $331.13
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $75.86 / $169.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $724.44 / $2,089.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $100.00 / $194.98