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New Jersey rates for HCPCS 11042

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

Facilitymedian $2,291 · 10th–90th $427–$4,6770%20%10th90th$2,291Professionalmedian $115 · 10th–90th $52–$2820%5%10%10th90th$115$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
$426.58 / $2,290.87 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $114.82 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $8,317.64
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $158.49 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $89.13 / $245.47
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $154.88 / $218.78
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,288.25 / $2,041.74
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $114.82 / $194.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,630.27 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $75.86 / $177.83