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Pennsylvania 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
$110.35 / $1,925.24 / $7,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.86 / $93.65 / $188.46
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.85 / $183.00 / $225.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.77 / $114.69 / $192.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.41 / $184.38 / $191.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.74 / $1,733.03 / $2,167.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,266.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $110.35 / $508.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.10 / $135.10 / $135.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.77 / $164.77 / $164.77
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.30 / $118.73 / $209.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.39 / $94.51 / $117.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.76 / $98.85 / $124.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $577.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.22 / $127.40 / $231.75