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North Carolina 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
$44.67 / $446.68 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $43.65 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $35.48 / $43.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $43.65 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $60.26 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $36.31 / $60.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $93.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $34.67 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $812.83 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $26.92 / $70.79
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $380.19