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Maine rates for HCPCS 11047

Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, 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
$0.89 / $0.89 / $0.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $107.15 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $138.04 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $151.36 / $269.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $158.49 / $251.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $123.03 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $158.49 / $239.88