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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
$28.66 / $445.50 / $5,177.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.33 / $44.34 / $122.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $19.14 / $19.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.53 / $43.25 / $53.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.64 / $107.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $37.79 / $81.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.75 / $45.45 / $78.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.75 / $78.75 / $78.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.39 / $40.19 / $80.95
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.81 / $134.81 / $134.81
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.50 / $372.75 / $376.33