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Maine 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
$88.01 / $202.80 / $303.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.02 / $122.59 / $252.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.46 / $161.96 / $238.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.58 / $210.74 / $304.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.66 / $195.67 / $326.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.80 / $202.80 / $303.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.02 / $122.99 / $178.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.31 / $203.04 / $317.30