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Removal Of Damaged Tissue Beneath The Skin

West Virginia rates for HCPCS 11042

This is a procedure to remove dead, damaged, or infected tissue from just beneath the skin's surface, in the fatty layer under the skin, to help a wound heal properly. It covers a defined smaller area of tissue treated during the procedure.

Rates data updated July 2026.

How much does Removal Of Damaged Tissue Beneath The Skin cost?

$986

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $986 for this procedure. That total is two separate charges: $115 to the doctor who performs it, and $871 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$115$61.66 to $132
Facility feeThe hospital or surgery center$871$347 to $1,778

How much rates vary

Facilitymedian $871 · 10th to 90th $98 to $5,754Professionalmedian $115 · 10th to 90th $54 to $269
$20$100$500$2K$10Kfacility $871professional $115

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$870.96
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$117.49
Typical High
$269.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$77.62
Typical High
$77.62
CareSource
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$114.82
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$112.20
Typical High
$645.65
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$676.08
Typical High
$1,584.89
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$707.95
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$81.28
Typical High
$147.91

Where West Virginia sits

The same service costs 17.0 times more in California than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

West Virginia· 27th of 51

$986

$115 physician + $871 facility

CA $5,220MT $307

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.