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Michigan 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 $537 · 10th–90th $26–$1,8200%10%20%10th90th$537Professionalmedian $158 · 10th–90th $21–$4570%10%10th90th$158$20.0$100.0$500.0$2.0K

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
$25.70 / $26.30 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $158.49 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $912.01 / $2,454.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $31.62 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $102.33 / $1,380.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $407.38 / $954.99
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $346.74 / $512.86
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $34.67 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $676.08 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $173.78 / $316.23