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Pennsylvania 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
$48.98 / $977.24 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $39.81 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $16.60 / $32.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $43.65 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $31.62 / $79.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $74.13 / $81.28
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $64.57 / $109.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $338.84 / $457.09
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $1,047.13 / $6,165.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $42.66 / $112.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $31.62 / $50.12
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $31.62 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $676.08 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $38.90 / $69.18