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Indiana rates for HCPCS 16025

Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.24 / $329.95 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.24 / $123.02 / $174.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.00 / $4,353.00 / $8,052.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.97 / $127.29 / $182.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.16 / $129.87 / $193.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.46 / $168.55 / $203.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.09 / $143.09 / $143.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.55 / $156.72 / $248.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.82 / $158.43 / $265.67