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South Carolina 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
$138.04 / $891.25 / $7,762.47
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $100.00 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $69.18 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $645.65 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $128.82 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $91.20 / $165.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $100.00 / $162.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,230.27 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $81.28 / $154.88