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Georgia 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 $1,000 · 10th–90th $98–$5,3700%5%10%10th90th$1,000Professionalmedian $74 · 10th–90th $31–$1740%10%10th90th$74$10.0$50.0$200.0$1.0K$5.0K

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
$93.33 / $912.01 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $77.62 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $60.26 / $147.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $2,398.83 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $56.23 / $128.82
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $69.18
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $97.72 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $50.12 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $70.79 / $144.54
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $338.84 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $1,348.96 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $56.23 / $104.71