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South Dakota 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
$104.74 / $110.88 / $152.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.48 / $133.80 / $252.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.92 / $308.72 / $445.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.01 / $219.35 / $384.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.86 / $362.38 / $1,166.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.85 / $272.93 / $411.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.52 / $291.41 / $417.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.21 / $219.98 / $304.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.86 / $304.39 / $425.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.00 / $242.30 / $340.90