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New York 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 $158 · 10th–90th $25–$8130%10%20%10th90th$158Professionalmedian $79 · 10th–90th $22–$4900%10%10th90th$79$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$29.51 / $165.96 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $109.65 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.88 / $489.78
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $295.12 / $1,000.00
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $27.54 / $72.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $524.81 / $758.58
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $426.58 / $724.44
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $446.68 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $870.96 / $1,148.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $257.04 / $549.54
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $22.91
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $380.19 / $630.96