go back

New Hampshire 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
$234.42 / $2,398.83 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $100.00 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $147.91 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $288.40
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
$102.33 / $181.97 / $338.84
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
$102.33 / $169.82 / $338.84
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $151.36