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Wisconsin 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 $347 · 10th–90th $26–$1,6980%10%10th90th$347Professionalmedian $45 · 10th–90th $23–$1260%10%20%10th90th$45$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
$25.70 / $346.74 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $40.74 / $123.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $53.70 / $131.83
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $44.67 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $134.90 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $58.88 / $114.82
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $47.86 / $123.03
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $66.07 / $120.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $69.18 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $45.71 / $173.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $72.44
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $891.25 / $2,344.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $47.86 / $112.20
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $81.28 / $151.36
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $269.15 / $269.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $50.12 / $380.19
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $53.70
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $83.18 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,584.89 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $30.20 / $75.86