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New Hampshire 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
$159.31 / $159.31 / $465.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.85 / $159.31 / $425.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $21.74 / $323.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.35 / $84.44 / $971.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.58 / $358.50 / $1,038.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $320.81 / $405.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.22 / $301.38 / $3,000.00