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Texas 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 $933 · 10th–90th $24–$5,2480%5%10th90th$933Professionalmedian $35 · 10th–90th $18–$890%10%10th90th$35$10.0$50.0$200.0$1.0K$5.0K

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
$186.21 / $1,995.26 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $33.88 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $26.30 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $30.20 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $38.90 / $61.66
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $34.67 / $41.69
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $42.66
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $35.48 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $52.48 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $29.51 / $67.61
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $398.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $58.88 / $3,715.35
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $40.74 / $89.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $33.11 / $43.65
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $39.81 / $79.43
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $29.51 / $64.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $954.99 / $2,398.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $23.99 / $64.57
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $48.98