go back

Maine 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.31 / $289.77 / $482.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.14 / $67.83 / $157.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.17 / $56.60 / $151.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.31 / $77.89 / $194.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.28 / $104.76 / $207.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.14 / $271.11 / $482.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.46 / $65.31 / $131.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.05 / $91.95 / $106.93