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Virginia 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 $43 · 10th–90th $20–$4270%10%10th90th$43Professionalmedian $138 · 10th–90th $21–$4680%10%10th90th$138$10.0$50.0$200.0$1.0K$5.0K

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 / $50.12 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $50.12 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $61.66 / $562.34
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $19.05 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $63.10 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $457.09 / $537.03
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $57.54 / $478.63
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $32.36 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $338.84 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $707.95 / $1,905.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $177.83 / $389.05