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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.31 / $741.75 / $770.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.56 / $159.31 / $397.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.87 / $374.96 / $627.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.00 / $288.20 / $362.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.79 / $756.04 / $1,101.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.10 / $69.97 / $467.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.26 / $313.07 / $342.85