Debridement of muscle and fascia, up to 20 sq cm

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Debride Muscle/Fascia 1st 20sq Cm

Payers reporting CPT 11043

71 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	UnitedHealthcare fee schedule · outpatient · +42 other terms	671	$718.20	$1,014	$1.00 – $17,988
2	Aetna fee schedule · outpatient · +40 other terms	609	$784.81	$1,316	$1.05 – $26,648
3	Blue Cross Blue Shield fee schedule · outpatient · +37 other terms	480	$878.18	$1,441	$0.01 – $22,145
4	Humana fee schedule · outpatient · +33 other terms	454	$646.36	$732.37	$1.00 – $8,591
5	Cigna case rate · outpatient · +39 other terms	364	$3,695	$5,065	$0.62 – $40,673
6	Molina fee schedule · outpatient · +36 other terms	269	$538.41	$588.80	$1.00 – $6,459
7	WellCare fee schedule · outpatient · +26 other terms	212	$749.68	$712.57	$93.34 – $4,336
8	Anthem fee schedule · outpatient · +37 other terms	151	$615.18	$704.64	$95.23 – $7,173
9	Oscar case rate · outpatient · +25 other terms	136	$2,636	$2,707	$957.14 – $7,454
10	MultiPlan fee schedule · outpatient · +24 other terms	133	$1,480	$1,419	$100.77 – $7,309
11	Kaiser fee schedule · outpatient · +28 other terms	115	$894.03	$958.46	$1.10 – $4,569
12	Ambetter fee schedule · outpatient · +23 other terms	113	$1,246	$1,164	$107.34 – $4,204
13	Devoted facility · fee schedule · outpatient · +21 other terms	97	$699.22	$762.45	$118.84 – $4,950
14	Aetna Better Health fee schedule · outpatient · +24 other terms	93	$273.68	$353.78	$112.20 – $2,219
15	Tricare facility · fee schedule · outpatient · +22 other terms	86	$746.53	$1,581	$109.60 – $12,674
16	Highmark facility · fee schedule · outpatient · +25 other terms	83	$861.73	$1,101	$34.65 – $5,023
17	Caresource fee schedule · outpatient · +25 other terms	78	$699.33	$905.95	$1.08 – $4,336
18	Optum fee schedule · outpatient · +28 other terms	73	$562.03	$888.91	$137.31 – $4,667
19	First Health fee schedule · outpatient · +24 other terms	62	$1,174	$1,578	$164.11 – $7,569
20	Amerihealth Caritas facility · fee schedule · outpatient · +17 other terms	50	$142.11	$393.53	$33.00 – $9,614
21	Regence professional · fee schedule · outpatient · +24 other terms	50	$169.20	$235.41	$10.73 – $727.30
22	Medica fee schedule · outpatient · +23 other terms	43	$566.87	$491.37	$56.83 – $1,252
23	Cigna Healthspring fee schedule · outpatient · +11 other terms	42	$602.98	$586.06	$137.31 – $788.12
24	Medicare facility · fee schedule · outpatient · +22 other terms	41	$761.68	$1,133	$129.40 – $22,000
25	Ucare professional · fee schedule · outpatient · +22 other terms	40	$78.24	$80.93	$7.87 – $183.13

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