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South Dakota 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 $339 · 10th–90th $22$5250%20%10th90th$339Professionalmedian $158 · 10th–90th $20$5620%10%10th90th$158$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
$21.88 / $21.88 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $173.78 / $489.78
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $53.70 / $912.01
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $269.15 / $707.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $138.04 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $77.62 / $416.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $380.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $371.54 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $44.67 / $588.84
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.88 / $537.03