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Pennsylvania 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
$223.46 / $1,426.00 / $7,175.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.32 / $130.46 / $236.61
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.72 / $159.52 / $159.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.27 / $151.18 / $270.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.99 / $237.84 / $245.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.64 / $434.15 / $859.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.76 / $2,463.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.77 / $147.18 / $699.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.90 / $151.90 / $159.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.70 / $187.70 / $187.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.01 / $157.29 / $293.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.41 / $108.67 / $153.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.41 / $148.18 / $161.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $674.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.26 / $160.27 / $301.37