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South Dakota rates for HCPCS 16030

Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $194.98 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $239.88 / $467.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $302.00 / $436.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $288.40 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83