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New Hampshire 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
$61.29 / $184.79 / $1,749.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.01 / $74.63 / $111.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.37 / $42.42 / $106.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.86 / $89.13 / $239.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.30 / $120.00 / $310.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.87 / $101.75 / $113.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $58.97 / $108.15