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Removal Of Damaged Tissue Beneath The Skin

Maine rates for HCPCS 11042

This is a procedure to remove dead, damaged, or infected tissue from just beneath the skin's surface, in the fatty layer under the skin, to help a wound heal properly. It covers a defined smaller area of tissue treated during the procedure.

Rates data updated July 2026.

How much does Removal Of Damaged Tissue Beneath The Skin cost?

$601

Typical total for the visit. In Maine, July 2026.

Insurers have agreed to pay about $601 for this procedure. That total is two separate charges: $100 to the doctor who performs it, and $501 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$100$70.79 to $166
Facility feeThe hospital or surgery center$501$100 to $575

How much rates vary

Facilitymedian $501 · 10th to 90th $69 to $977Professionalmedian $100 · 10th to 90th $49 to $224
$50$100$200$500$1K$2K$5Kfacility $501professional $100

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$501.19
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$77.62
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$114.82
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$100.00
Median
$173.78
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$134.90
Typical High
$281.84
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$141.25
Typical High
$251.19
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$380.19
Typical High
$977.24
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$89.13
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$123.03
Typical High
$257.04

Where Maine sits

The same service costs 17.0 times more in California than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Maine· 45th of 51

$601

$100 physician + $501 facility

CA $5,220MT $307

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.