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Iowa 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 $417 · 10th–90th $93–$2,9510%10%10th90th$417Professionalmedian $95 · 10th–90th $33–$2400%10%10th90th$95$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 / $446.68 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $95.50 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $93.33 / $269.15
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $97.72 / $194.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $147.91 / $1,348.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $87.10 / $380.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $123.03 / $173.78
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $194.98 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $1,023.29 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $64.57 / $102.33
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $51.29 / $147.91