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Nationwide rates for HCPCS 97598

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; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)

Facilitymedian $794 · 10th–90th $21$6,4570%5%10th90th$794Professionalmedian $41 · 10th–90th $19$1100%10%10th90th$41$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$43.65 / $1,380.38 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $39.81 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $3,715.35
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $41.69 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $134.90 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $37.15 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $1,174.90 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $36.31 / $74.13