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Utah 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
$87.10 / $776.25 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $91.20 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $204.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $489.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $676.08 / $1,584.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $112.20 / $194.98
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $131.83 / $229.09
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $162.18 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $89.13 / $165.96