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Utah 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 $3,020 · 10th–90th $27–$4,5710%10%10th90th$3,020Professionalmedian $28 · 10th–90th $13–$780%10%10th90th$28$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
$26.92 / $3,019.95 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $26.92 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $34.67 / $67.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $32.36 / $177.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $32.36 / $57.54
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $44.67 / $61.66
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $51.29 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $26.92 / $56.23