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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.05 / $1,839.00 / $6,158.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.02 / $29.20 / $52.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.45 / $32.75 / $61.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.84 / $38.60 / $60.93
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.46 / $33.43 / $37.90
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.63 / $36.85 / $45.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.45 / $52.47 / $52.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.98 / $69.00 / $172.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $26.89 / $67.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.00 / $134.81 / $134.81
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.50 / $372.75 / $376.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.18 / $41.84 / $78.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.11 / $46.58 / $78.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.35 / $41.83 / $99.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.18 / $41.84 / $79.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $31.02 / $70.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $952.00 / $2,405.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $40.19 / $66.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.99 / $41.83 / $58.56