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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
$123.04 / $190.73 / $190.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.27 / $276.54 / $472.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.00 / $375.18 / $516.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.92 / $268.13 / $387.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00