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Wisconsin 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
$19.95 / $660.69 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $50.12 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,584.89 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $70.79 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$58.88 / $109.65 / $234.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $27.54 / $30.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $38.90 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $123.03 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $58.88 / $117.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $67.61 / $3,981.07
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $70.79 / $117.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $67.61 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $64.57 / $186.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $75.86 / $138.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $199.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $44.67 / $288.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $104.71 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $51.29 / $134.90