go back

Wisconsin 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 / $239.88 / $457.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $602.56 / $954.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $354.81 / $3,311.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $354.81 / $1,659.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $407.38 / $707.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,995.26 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,548.82 / $1,949.84