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New Mexico 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 $71 · 10th–90th $30–$2,1380%10%10th90th$71Professionalmedian $36 · 10th–90th $19–$720%10%20%10th90th$36$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$30.20 / $52.48 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $40.74 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $562.34 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $31.62 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $26.92 / $51.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $63.10
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $43.65 / $85.11
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $33.11 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $1,148.15 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $42.66 / $77.62