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Arizona 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
$107.92 / $107.92 / $107.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $99.09 / $107.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.01 / $179.57 / $444.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.19 / $95.01 / $224.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.77 / $117.32 / $233.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.40 / $100.40 / $217.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11