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Utah 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
$121.46 / $2,744.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.86 / $121.46 / $239.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.68 / $175.27 / $247.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.29 / $151.64 / $186.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.07 / $379.59 / $553.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.25 / $174.91 / $230.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.48 / $158.04 / $254.61