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New Hampshire rates for HCPCS 11042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $645.65 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $97.72 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $70.79 / $125.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $131.83 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$83.18 / $199.53 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $141.25 / $323.59
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $154.88 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $144.54 / $316.23
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $169.82