go back

South Dakota 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
$25.82 / $48.99 / $751.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.53 / $23.87 / $206.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.08 / $60.19 / $116.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.30 / $57.41 / $101.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.17 / $41.32 / $376.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.09 / $55.48 / $97.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $45.84 / $78.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $46.58 / $86.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.17 / $40.45 / $70.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $38.40 / $71.40