Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 11008 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Rmv Prstc Mtrl Mesh Abd Wall, Removal Of Prosthetic Material Or Mesh Abdominal Wall For Infection Eg For Chronic Or Recurrent Mesh Infection Or Necrotizing Soft Tissue Infection List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 11008 |
| Medicaid Fee Schedule | View Medicaid rates for 11008 |
National average reimbursement for CPT 11008 by major payers:
$342.02
$360.91
$352.29
$442.84
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 11008.
CPT 11008
5 of 25 sample ratesHigher to lower in this preview
Franconia-Springfield Surgery Center, LLC, Inova Surgery Center @ Franconia-Springfield
Inova Ambulatory Surgical Centers
$6,290.00Published ratePediatric Surgery Center -Odessa, LLC
$3,500.00Published ratePunxsutawney Area Hospital Inc
$2,228.00Published rateSnnac LLC, Azura Surgery Center Northern Nevada
Snnac LLC
$1,409.00Published rateWake Endoscopy Center, LLC
$510.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 11008 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11008 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 11008 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 11004-CPT | Moderate | Dbrdmt Skin Xtrnl Gent Per, Debridement Of Skin Subcutaneous Tissue Muscle And Fascia For Necrotizing Soft Tissue Infection External Genitalia And Perineum |
| 11005-CPT | Moderate | Dbrdmt Skin Abdominal Wall, Debridement Of Skin Subcutaneous Tissue Muscle And Fascia For Necrotizing Soft Tissue Infection Abdominal Wall With Or Without Fascial Closure |
| 11006-CPT | Moderate | Dbrdmt Skin Xtrnl Gent Per, Debridement Of Skin Subcutaneous Tissue Muscle And Fascia For Necrotizing Soft Tissue Infection External Genitalia Perineum And Abdominal Wall With Or Without Fascial Closure |
| 11008-CPT | Moderate | Rmv Prstc Mtrl Mesh Abd Wall, Removal Of Prosthetic Material Or Mesh Abdominal Wall For Infection Eg For Chronic Or Recurrent Mesh Infection Or Necrotizing Soft Tissue Infection List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11008. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11008 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 11008) and we'll show you how you compare in 15 minutes or less.