go back

Texas 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 $79 · 10th–90th $21–$5130%5%10th90th$79Professionalmedian $158 · 10th–90th $19–$4270%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
$19.95 / $354.81 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $158.49 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.39 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $72.44 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $239.88 / $416.87
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $309.03
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $467.74 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $77.62 / $512.86
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,818.38 / $2,818.38
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $46.77 / $489.78
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $302.00 / $660.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $33.11 / $288.40
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $50.12 / $478.63
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $74.13 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $645.65 / $851.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $158.49 / $295.12
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08