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Wisconsin 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 $955 · 10th–90th $98$4,5710%10%10th90th$955Professionalmedian $95 · 10th–90th $33$2950%10%10th90th$95$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
$52.48 / $346.74 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $95.50 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $102.33 / $275.42
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $40.74 / $43.65
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $100.00 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $309.03 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $91.20 / $263.03
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $117.49 / $3,981.07
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $104.71 / $269.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $173.78 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $93.33 / $380.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $100.00
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $891.25 / $2,344.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $123.03 / $257.04
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $144.54 / $302.00
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $316.23 / $316.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $89.13 / $645.65
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $123.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $123.03 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,584.89 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $67.61 / $131.83