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Wisconsin rates for HCPCS 97605

Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters

Facilitymedian $204 · 10th–90th $35–$3630%10%10th90th$204Professionalmedian $47 · 10th–90th $24–$1350%5%10th90th$47$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $234.42 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $44.67 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $60.26 / $131.83
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $28.84 / $31.62
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $43.65 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $131.83 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $53.70 / $120.23
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $48.98 / $120.23
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $74.13 / $117.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $51.29 / $125.89
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $42.66 / $151.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $51.29
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $60.26 / $112.20
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $70.79 / $131.83
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $154.88
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$5.75 / $5.75 / $15.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $46.77 / $269.15
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $51.29
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $87.10 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $38.02 / $75.86