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Montana 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
$228.92 / $316.70 / $445.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.14 / $72.98 / $307.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.93 / $55.21 / $159.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.21 / $55.21 / $189.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.58 / $55.21 / $159.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.93 / $91.84 / $154.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $97.30 / $191.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.05 / $98.89 / $98.89