go back

Maine 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
$26.76 / $241.63 / $521.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.53 / $26.76 / $48.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.76 / $39.45 / $64.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.88 / $48.36 / $91.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.68 / $52.68 / $92.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.63 / $521.30 / $2,741.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.96 / $38.93 / $70.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.95 / $40.11 / $46.60