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Montana 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
$380.00 / $409.78 / $420.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.10 / $34.53 / $89.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.64 / $74.64 / $87.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.60 / $134.60 / $160.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $81.33 / $134.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.68 / $102.61 / $160.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.69 / $121.91 / $143.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $84.81 / $84.81