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Utah 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
$51.15 / $343.29 / $3,038.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.30 / $69.62 / $191.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $45.53 / $133.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.23 / $86.05 / $110.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.07 / $379.59 / $553.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.15 / $55.44 / $128.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.40 / $90.77 / $98.89