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South Carolina 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
$128.82 / $4,897.79 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $107.15 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $104.71 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,513.56 / $3,388.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $114.82 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $120.23 / $169.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $123.03 / $158.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $104.71 / $169.82