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California 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 $20 · 10th–90th $11$8,7100%10%20%10th90th$20Professionalmedian $36 · 10th–90th $11$1320%10%10th90th$36$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$363.08 / $5,011.87 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $28.84 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $35.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $42.66 / $125.89
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $1,023.29 / $2,187.76
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $85.11 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $32.36 / $83.18
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $60.26 / $81.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $50.12 / $93.33
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $398.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $63.10
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $38.02 / $79.43
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $34.67 / $91.20
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $151.36
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $67.61 / $102.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,584.89 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $42.66 / $87.10