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Nationwide rates for HCPCS 97597

Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less

Facilitymedian $447 · 10th–90th $45$4,5710%10%10th90th$447Professionalmedian $79 · 10th–90th $30$2140%10%20%10th90th$79$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $467.74 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $79.43 / $213.80
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $346.74 / $4,786.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $61.66 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $275.42 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $66.07 / $190.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $1,071.52 / $3,467.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $58.88 / $107.15