go back

New Jersey 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 $661 · 10th–90th $41–$9,5500%10%10th90th$661Professionalmedian $158 · 10th–90th $22–$4370%10%10th90th$158$10.0$50.0$200.0$1.0K$5.0K

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
$40.74 / $457.09 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $128.82 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $245.47 / $794.33
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $436.52 / $575.44
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,288.25 / $2,041.74
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $302.00 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $1,698.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $158.49 / $398.11