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South Dakota rates for HCPCS 16000

Initial treatment, first degree burn, when no more than local treatment is required

Facilitymedian $112 · 10th–90th $42–$4270%10%20%10th90th$112Professionalmedian $76 · 10th–90th $42–$1950%10%10th90th$76$50.0$100.0$200.0$500.0

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
$41.69 / $169.82 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $67.61 / $194.98
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $128.82 / $234.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $97.72 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $141.25 / $588.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $107.15 / $162.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $141.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $102.33 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $95.50 / $186.21
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $100.00 / $173.78