go back

New Hampshire rates for HCPCS 11043

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.62 / $835.40 / $2,824.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.62 / $173.29 / $592.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.44 / $258.57 / $436.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.69 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.87 / $334.73 / $575.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.93 / $404.57 / $724.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.77 / $379.33 / $961.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.13 / $207.06 / $295.63