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Missouri 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 $295 · 10th–90th $23–$5370%10%10th90th$295Professionalmedian $74 · 10th–90th $21–$4470%10%10th90th$74$20.0$50.0$100.0$200.0$500.0$1.0K$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
$23.44 / $32.36 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $128.82 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $38.02 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $34.67 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $57.54 / $562.34
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $95.50 / $776.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $275.42 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $645.65 / $2,630.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $147.91 / $323.59