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New Hampshire rates for HCPCS 11045

Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $2,398.83 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $33.11 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $43.65 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$33.11 / $66.07 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $46.77 / $100.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $54.95 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $56.23 / $104.71
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $51.29