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Missouri rates for HCPCS 11042

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

Facilitymedian $1,318 · 10th–90th $107–$5,2480%5%10th90th$1,318Professionalmedian $110 · 10th–90th $52–$3240%5%10%10th90th$110$20.0$100.0$500.0$2.0K$10.0K

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
$93.33 / $1,023.29 / $5,370.32
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $109.65 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $87.10 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$77.62 / $131.83 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $131.83 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $117.49 / $218.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $173.78 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $162.18 / $954.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $602.56 / $1,778.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $95.50 / $169.82