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Colorado 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 $1,905 · 10th–90th $49–$7,4130%10%10th90th$1,905Professionalmedian $41 · 10th–90th $22–$1120%10%20%10th90th$41$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
$48.98 / $3,019.95 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $41.69 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $47.86 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $30.20 / $83.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $70.79 / $89.13
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $44.67 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,479.11 / $2,691.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $40.74 / $69.18