go back

Wisconsin 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 $316 · 10th–90th $22$1,0960%10%10th90th$316Professionalmedian $158 · 10th–90th $21$7240%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 / $398.11 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $158.49 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $72.44 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,096.48 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $64.57 / $1,023.29
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $61.66 / $891.25
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $60.26 / $891.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $83.18 / $891.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $302.00 / $562.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $371.54 / $851.14
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $93.33 / $1,148.15
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $1,023.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $407.38 / $2,454.71
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $467.74
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $131.83 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $141.25 / $426.58