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Minnesota 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 $138 · 10th–90th $26–$7590%10%10th90th$138Professionalmedian $52 · 10th–90th $25–$1230%5%10th90th$52$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
$25.12 / $47.86 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $39.81 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $138.04 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $61.66 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $194.98 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $95.50 / $190.55
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $186.21 / $199.53
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $89.13 / $154.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $66.07 / $316.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $45.71 / $173.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $2,089.30 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $40.74 / $117.49