go back

Michigan 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 $219 · 10th–90th $45–$2,0420%5%10%10th90th$219Professionalmedian $74 · 10th–90th $30–$2040%5%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
$44.67 / $218.78 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $75.86 / $213.80
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $42.66 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $52.48 / $158.49
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $74.13 / $123.03
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $69.18 / $154.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $208.93 / $2,041.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $85.11 / $162.18
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $75.86 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $954.99 / $1,862.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $52.48 / $83.18