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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
$23.99 / $1,862.09 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $35.48 / $125.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $501.19 / $2,818.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $48.98 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $53.70 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $42.66 / $109.65
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $69.18 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $46.77 / $79.43
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $56.23 / $120.23
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $416.87 / $1,023.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $630.96 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $48.98 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $47.86 / $102.33