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Missouri 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
$85.11 / $234.42 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $91.20 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $47.86 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $57.54 / $120.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $114.82 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $72.44 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $630.96 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $72.44 / $85.11