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Vermont 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 $224 · 10th–90th $40–$6170%20%40%10th90th$224Professionalmedian $93 · 10th–90th $32–$2450%5%10%10th90th$93$50.0$100.0$200.0$500.0$1.0K

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
$39.81 / $346.74 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $107.15 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $194.98 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $83.18 / $218.78
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $169.82 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $66.07 / $213.80