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South 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)

Facilitymedian $724 · 10th–90th $45–$9,1200%5%10%10th90th$724Professionalmedian $41 · 10th–90th $21–$890%20%10th90th$41$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
$162.18 / $794.33 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $42.66 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $331.13 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $22.39 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $25.12 / $50.12
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $38.02 / $81.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $1,174.90 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $26.30 / $56.23