go back

New Mexico 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 $148 · 10th–90th $44–$2,1380%10%10th90th$148Professionalmedian $81 · 10th–90th $32–$2140%10%10th90th$81$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$43.65 / $114.82 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $89.13 / $229.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $562.34 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $46.77 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $52.48 / $131.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $138.04
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $60.26 / $158.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $69.18 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $1,096.48 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $58.88 / $100.00