go back

Texas 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 $447 · 10th–90th $46–$4,1690%5%10th90th$447Professionalmedian $74 · 10th–90th $28–$1780%10%10th90th$74$10.0$50.0$200.0$1.0K$5.0K

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
$102.33 / $758.58 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $75.86 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $66.07 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $63.10 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $72.44 / $134.90
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $213.80 / $302.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $107.15 / $138.04
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $162.18 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $75.86 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $53.70 / $109.65
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $831.76 / $831.76
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $117.49 / $2,951.21
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $77.62 / $186.21
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $33.11 / $102.33
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $575.44 / $575.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $67.61 / $131.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $52.48 / $120.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $933.25 / $2,290.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $53.70 / $83.18
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $102.33