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South Carolina rates for HCPCS 11047

Debridement Bone Each Additional 20 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.01 / $1,764.03 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.87 / $105.01 / $188.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.31 / $2,116.75 / $3,748.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.00 / $103.20 / $152.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.34 / $120.04 / $169.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.86 / $116.74 / $158.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.44 / $100.11 / $133.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.00 / $1,138.00 / $2,922.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.81 / $118.02 / $194.73