go back

Montana 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
Professional
Modifier
Low / Median / High Price
$32.25 / $159.31 / $429.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.16 / $33.13 / $467.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.13 / $33.13 / $653.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.16 / $33.13 / $549.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.34 / $33.13 / $516.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.16 / $343.47 / $709.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.82 / $342.85 / $342.85