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Nevada 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 $1,585 · 10th–90th $47–$4,4670%10%20%10th90th$1,585Professionalmedian $28 · 10th–90th $10–$810%20%10th90th$28$1.0$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
$46.77 / $1,584.89 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $26.30 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $33.88 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $21.88 / $57.54
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $28.18 / $74.13
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $32.36 / $70.79
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $44.67 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $1,047.13 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $44.67 / $79.43