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Nebraska 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
$169.65 / $672.87 / $10,431.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.45 / $96.03 / $324.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.69 / $56.69 / $56.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.14 / $781.45 / $1,511.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.09 / $79.31 / $185.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.00 / $389.00 / $389.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.77 / $89.85 / $218.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.15 / $164.66 / $625.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.84 / $91.05 / $651.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.47 / $123.80 / $189.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.95 / $94.72 / $218.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.56 / $91.05 / $221.34