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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

Facilitymedian $832 · 10th–90th $138–$7,2440%10%10th90th$832Professionalmedian $107 · 10th–90th $49–$2400%10%10th90th$107$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$138.04 / $891.25 / $7,762.47
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $107.15 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $91.20 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $645.65 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $128.82 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $91.20 / $169.82
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $100.00 / $169.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $1,174.90 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $81.28 / $144.54