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Illinois 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

Facilitymedian $324 · 10th–90th $24–$6310%10%20%10th90th$324Professionalmedian $158 · 10th–90th $21–$4170%10%10th90th$158$20.0$50.0$100.0$200.0$500.0$1.0K

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
$22.91 / $354.81 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $158.49 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $204.17 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $77.62 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $83.18 / $562.34
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $371.54 / $562.34
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $26.92 / $436.52
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $954.99 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $158.49 / $346.74