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Maine rates for HCPCS 97602

Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.87 / $99.41 / $302.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.53 / $42.59 / $86.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.73 / $37.11 / $57.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.89 / $101.98 / $197.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.05 / $123.46 / $182.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.81 / $116.40 / $350.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.10 / $42.61 / $168.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.66 / $60.83 / $83.82