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New York 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 $1,820 · 10th–90th $66$7,0790%5%10th90th$1,820Professionalmedian $85 · 10th–90th $29$2090%10%10th90th$85$10.0$50.0$200.0$1.0K$5.0K$20.0K

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 / $794.33 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $79.43 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $93.33 / $114.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $107.15 / $208.93
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $75.86 / $234.42
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $52.48 / $114.82
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $144.54 / $218.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $123.03 / $186.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $245.47 / $1,380.38
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $87.10 / $190.55
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $128.82 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $2,398.83 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $75.86 / $194.98
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $38.90 / $173.78
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $123.03 / $239.88