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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $519.19 | $519.19 | $519.19 | |
Aetna
| Professional | $26.01 | $26.01 | $49.45 | |
BCBS
| Professional | $35.00 | $44.00 | $81.00 | |
Cigna
| Professional | $13.24 | $28.18 | $49.04 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $24.12 | $47.28 | $132.38 |