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Utah 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
$101.58 / $332.09 / $573.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.05 / $39.72 / $93.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.65 / $51.10 / $122.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.48 / $46.43 / $109.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.07 / $379.59 / $553.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.64 / $97.92 / $112.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $72.09 / $84.81