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Missouri 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 $603 · 10th–90th $44–$5,6230%5%10th90th$603Professionalmedian $40 · 10th–90th $17–$1230%10%10th90th$40$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$43.65 / $616.60 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $40.74 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $33.88 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $40.74 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $29.51 / $70.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $66.07 / $933.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $44.67 / $380.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $707.95 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $28.18 / $48.98