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Utah 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
$91.20 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $104.71 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $141.25 / $190.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $223.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $158.49 / $204.17
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $141.25 / $204.17
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $154.88 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $112.20 / $169.82