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Utah 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 $575 · 10th–90th $158–$9770%20%40%10th90th$575Professionalmedian $158 · 10th–90th $20–$4790%10%10th90th$158$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $158.49 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $371.54 / $537.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $32.36 / $48.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $776.25 / $1,202.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $75.86 / $489.78
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $323.59 / $389.05
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $380.19 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $186.21 / $346.74