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Massachusetts 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.38 / $1,803.00 / $3,363.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $24.71 / $48.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.77 / $627.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $53.08 / $169.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.29 / $35.47 / $69.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.03 / $62.22 / $111.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.73 / $302.56 / $341.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.15 / $44.29 / $109.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.28 / $83.43 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.69 / $45.75 / $73.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.49 / $61.88 / $121.58
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.64 / $411.75 / $1,013.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.81 / $1,078.00 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $69.02 / $376.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.59 / $53.08 / $133.36