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Idaho rates for HCPCS 97607

Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.55 / $547.55 / $547.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.81 / $159.31 / $505.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $82.02 / $524.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.26 / $159.31 / $576.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.63 / $40.76 / $646.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $514.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.62 / $958.04 / $1,244.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.55 / $48.81 / $502.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.61 / $298.91 / $342.85