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Arkansas rates for HCPCS Q4138

BioDFence DryFlex, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.73 / $117.73 / $117.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $103.01 / $117.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.93 / $108.93 / $108.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.81 / $108.93 / $108.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.55 / $98.11 / $98.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $106.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.26 / $98.11 / $112.28